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EAGLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, P.L.L.C.

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Company Details

Name: EAGLE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Jun 2000 (25 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 51218
Place of Formation: IDAHO
File Number: 51218
ZIP code: 83422
County: Teton County
Principal Address: 600 VALLEY CENTRE DR. DRIGGS, ID 83422
Mailing Address: CHRISTINE BLEFFERT 600 VALLEY CENTRE DR DRIGGS, ID 83422-5095

Agent

Name Role Address
MICHAEL BLEFFERT Agent 2596 RENDEZVOUS DR, DRIGGS, ID 83422

Member

Name Role Address Appointed On
Christine M Bleffert Member 2596 RENDEZVOUS DR, DRIGGS, ID 83422 2020-07-02

National Provider Identifier

NPI Number:
1952425464

Authorized Person:

Name:
CHRISTINE M. LUNDBERG
Role:
PHYSICAL THERAPIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5095610536

Filing

Filing Name Filing Number Filing date
Annual Report 0006334345 2025-07-01
Annual Report 0005781156 2024-06-14
Annual Report 0005325854 2023-07-18
Annual Report 0004852967 2022-08-08
Annual Report 0004344143 2021-07-11

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Date of last update: 29 Jul 2025

Sources: Idaho Secretary of State