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LEE PHYSICAL THERAPY, P.C.

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Company Details

Name: LEE PHYSICAL THERAPY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 12 Apr 2007 (18 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 522800
Place of Formation: IDAHO
File Number: 522800
ZIP code: 83644
County: Canyon County
Mailing Address: STE 1 18 E MAIN ST MIDDLETON, ID 83644-5823

Agent

Name Role Address
BRIAN LEE Agent 18 E MAIN ST, STE 1, MIDDLETON, ID 83644

President

Name Role Address Appointed On
Brian W Lee President 18 E MAIN STREET, MIDDLETON, ID 83644 2021-03-30

National Provider Identifier

NPI Number:
1528250099

Authorized Person:

Name:
MR. BRIAN W LEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2085850052

Filing

Filing Name Filing Number Filing date
Annual Report 0006134890 2025-03-03
Annual Report 0005639563 2024-03-07
Application for Reinstatement 0005357097 2023-08-10
Dissolution/Revocation - Administrative 0005321081 2023-07-13
Annual Report 0004628843 2022-03-03

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$32,545
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,545
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$32,777.34
Servicing Lender:
Sunwest Bank
Use of Proceeds:
Payroll: $32,545

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State