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Kids in Bloom Occupational Therapy, PLLC

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Company Details

Name: Kids in Bloom Occupational Therapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Apr 2023 (2 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 5206388
Place of Formation: IDAHO
File Number: 875094
ZIP code: 83455
County: Teton County
Principal Address: CAITLIN LYON 3808 WOOD RD VICTOR, ID 83455
Mailing Address: 106 1420 N HIGHWAY 33 DRIGGS, ID 83422

Agent

Name Role Address
Caitlin Lyon Agent 3808 WOOD RD, CAITLIN LYON, VICTOR, ID 83455

Manager

Name Role Address Appointed On
Caitlin Lyon Manager 3808 WOOD RD, VICTOR, ID 83455 2024-04-07

National Provider Identifier

NPI Number:
1134905292
Certification Date:
2023-11-10

Authorized Person:

Name:
CAITLIN LYON
Role:
OWNER, OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2086565647

Filing

Filing Name Filing Number Filing date
Annual Report 0006242374 2025-05-06
Annual Report 0005682468 2024-04-07
Initial Filing 0005206388 2023-04-19

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Date of last update: 21 Aug 2025

Sources: Idaho Secretary of State