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Idaho Sport Massage LLC

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Company Details

Name: Idaho Sport Massage LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 5431077
Place of Formation: IDAHO
File Number: 901477
ZIP code: 83202
County: Bannock County
Principal Address: MINDY CERVANTES 4846 HIRAM AVE CHUBBUCK, ID 83202
Mailing Address: MINDY CERVANTES 4846 HIRAM AVE CHUBBUCK, ID 83202-3018

Agent

Name Role Address
Mindy D Cervantes Agent 4846 HIRAM AVE, CHUBBUCK, ID 83202

Managing Member

Name Role Address Appointed On
Mindy D Cervantes Managing Member 4846 HIRAM AVE, CHUBBUCK, ID 83202 2024-11-08

National Provider Identifier

NPI Number:
1932946332
Certification Date:
2024-10-24

Authorized Person:

Name:
MINDY CERVANTES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005974545 2024-11-08
Initial Filing 0005431077 2023-10-04

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Date of last update: 20 Jun 2025

Sources: Idaho Secretary of State