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IDAHO SPINE AND SPORTS PHYSICAL THERAPY-SILVERSTONE, LLC

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Company Details

Name: IDAHO SPINE AND SPORTS PHYSICAL THERAPY-SILVERSTONE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Apr 2017 (8 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 548402
Place of Formation: IDAHO
File Number: 548402
ZIP code: 83713
County: Ada County
Principal Address: 12072 W MCMILLAN ROAD BOISE, ID 83713
Mailing Address: SYDNEY ADAMS 4721 N TATTENHAM WAY BOISE, ID 83713-2529

Agent

Name Role Address
ROBERT BRET ADAMS Agent 12072 W MCMILLAN ROAD, BOISE, ID 83642

Member

Name Role Address Appointed On Resigned On
ROBERT BRET ADAMS Member 2316 S EAGLE ROAD, MERIDIAN, ID 83642 2023-03-26 No data
JEFFREY R TAYLOR Member 2316, MERIDIAN, ID 83642 2021-04-01 2023-03-26

National Provider Identifier

NPI Number:
1245766518

Authorized Person:

Name:
ROBERT BRET ADAMS
Role:
OWNER/PARTNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2082862743

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006233869 2025-05-05
Annual Report 0006233827 2025-05-05
Annual Report 0005632167 2024-03-04
Annual Report 0005167687 2023-03-26
Annual Report 0004680690 2022-04-01

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State