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Breathe Airway Myo, LLC

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Company Details

Name: Breathe Airway Myo, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 May 2023 (2 years ago)
Financial Date End: 31 May 2025
Entity Number: 5254118
Place of Formation: IDAHO
File Number: 881631
ZIP code: 83646
County: Ada County
Principal Address: CHELSEA HANSEN 106 6500 N LINDER RD MERIDIAN, ID 83646
Mailing Address: CHELSEA HANSEN 6500 N LINDER RD UNIT 106 MERIDIAN, ID 83646-6702

Agent

Name Role Address
John McRae Agent 862 S JUMP ROPE PLACE, KUNA, ID 83634

Manager

Name Role Address Appointed On
John McRae Manager 862 S JUMP ROPE PLACE, KUNA, ID 83634 2024-04-03

National Provider Identifier

NPI Number:
1326727967
Certification Date:
2023-07-12

Authorized Person:

Name:
DR. JOHN K MCRAE
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005666581 2024-04-03
Initial Filing 0005254118 2023-05-31

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Date of last update: 03 Mar 2025

Sources: Idaho Secretary of State