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Momentum Mobile Therapy PLLC

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Company Details

Name: Momentum Mobile Therapy PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 5451438
Place of Formation: IDAHO
File Number: 905058
ZIP code: 83422
County: Teton County
Principal Address: 808 TEAGUE AVE DRIGGS, ID 83422
Mailing Address: 808 TEAGUE AVE DRIGGS, ID 83422-5303

Agent

Name Role Address
Jennifer Kunzman Agent 808 TEAGUE AVE, DRIGGS, ID 83422

Manager

Name Role Address Appointed On
Jennifer Kunzman Manager 808 TEAGUE AVE, DRIGGS, ID 83422 2024-09-03

National Provider Identifier

NPI Number:
1902679699
Certification Date:
2023-11-03

Authorized Person:

Name:
JENNIFER KUNZMAN
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005880682 2024-09-03
Initial Filing 0005451438 2023-10-29

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State