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NICHOLS THERAPY GROUP P.C.

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Company Details

Name: NICHOLS THERAPY GROUP P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Jan 2004 (21 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 464822
Place of Formation: IDAHO
File Number: 464822
ZIP code: 83669
County: Ada County
Mailing Address: 9652 W STATE ST STAR, ID 83669-5858

Agent

Name Role Address
BRIAN NICHOLS Agent 9652 W STATE ST, STAR, ID 83669

President

Name Role Address Appointed On
Brain d Nichols President 9652 W STATE STREET, STAR, ID 83669 2021-02-04

Secretary

Name Role Address Appointed On Resigned On
Judianne k Nichols Secretary 9652 W STATE STREET, STAR, ID 83669 2024-01-12 2024-01-12

National Provider Identifier

NPI Number:
1043380769

Authorized Person:

Name:
MR. BRIAN DAVID NICHOLS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2082860768

Filing

Filing Name Filing Number Filing date
Annual Report 0005998620 2024-12-03
Annual Report 0005560247 2024-01-12
Annual Report 0005013852 2022-12-05
Annual Report 0004573181 2022-01-17
Annual Report 0004162268 2021-02-04

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State