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Elevate208 Physical Therapy, PLLC

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Company Details

Name: Elevate208 Physical Therapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Aug 2023 (2 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 5363724
Place of Formation: IDAHO
File Number: 893519
ZIP code: 83815
County: Kootenai County
Principal Address: 7736 N GOVERNMENT WAY DALTON GARDENS, ID 83815
Mailing Address: STE 1 7736 N GOVERNMENT WAY DALTON GARDENS, ID 83815-8772

Agent

Name Role Address
Matthew Kifer Agent 2277 W MALAD AVE, POST FALLS, ID 83854

Manager

Name Role Address Appointed On
Matthew Kifer Manager 2277 W. MALAD AVE., POST FALLS, ID 83854 2024-07-17

National Provider Identifier

NPI Number:
1043091531
Certification Date:
2024-11-14

Authorized Person:

Name:
MATTHEW KIFER
Role:
DOCTOR OF PHYSICAL THERAPY
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006339454 2025-07-03
Annual Report 0005822971 2024-07-17
Statement of Change of Business Mailing Address 0005705580 2024-04-27
Initial Filing 0005363724 2023-08-15

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State