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EVERGREEN PHYSICAL THERAPY INC

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Company Details

Name: EVERGREEN PHYSICAL THERAPY INC
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Dec 2008 (17 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 547904
Place of Formation: IDAHO
File Number: 547904
ZIP code: 83301
County: Twin Falls County
Mailing Address: 790 HOLLYANN CT TWIN FALLS, ID 83301-3418

Agent

Name Role Address
BRADLEY C WILLIAMS Agent 790 HOLLYANN CT, TWIN FALLS, ID 83301

President

Name Role Address Appointed On
Bradley C Williams President 790 HOLLYANN COURT, TWIN FALLS, ID 83301 2020-12-03

National Provider Identifier

NPI Number:
1700021151

Authorized Person:

Name:
BRADLEY C WILLIAMS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2087360890

Filing

Filing Name Filing Number Filing date
Annual Report 0005986640 2024-11-18
Annual Report 0005458583 2023-11-03
Annual Report 0004971171 2022-11-03
Annual Report 0004571594 2022-01-14
Annual Report 0004084776 2020-12-03

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State