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DOCTORS OF PHYSICAL THERAPY PLLC

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Company Details

Name: DOCTORS OF PHYSICAL THERAPY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Oct 2022 (3 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4936271
Place of Formation: IDAHO
File Number: 843983
ZIP code: 83647
County: Elmore County
Principal Address: SUITE B 3195 EAST 8TH NORTH MOUNTAIN HOME, ID 83647
Mailing Address: PO BOX 293 GLENNS FERRY, ID 83623-0293

Agent

Name Role Address
NATHAN RIGGS Agent 1488 TRAPPERS RIDGE, AMMON, ID 83401

Member

Name Role Address Appointed On
ANSON CALL Member 3195 EAST 8TH NORTH, MOUNTAIN HOME, ID 83647 2023-09-04

National Provider Identifier

NPI Number:
1376252114
Certification Date:
2022-11-21

Authorized Person:

Name:
ANSON CALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2084502268

Filing

Filing Name Filing Number Filing date
Annual Report 0005881825 2024-09-04
Annual Report 0005380098 2023-09-04
Initial Filing 0004936271 2022-10-04

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Date of last update: 25 Mar 2025

Sources: Idaho Secretary of State