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CDA PT at Home, LLC

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Company Details

Name: CDA PT at Home, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 Jan 2024 (a year ago)
Financial Date End: 31 Jan 2025
Date dissolved: 26 Apr 2025
Entity Number: 5567754
Place of Formation: IDAHO
File Number: 917184
ZIP code: 83814
County: Kootenai County
Principal Address: 3576 S TIMOTHY LN COEUR D'ALENE, ID 83814
Mailing Address: 3576 S TIMOTHY LN COEUR D ALENE, ID 83814-7576

Agent

Name Role Address
Brian J. Bean Agent 2005 IRONWOOD PKWY STE 201, COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1588406698
Certification Date:
2024-06-10

Authorized Person:

Name:
KELLY ARMSTRONG
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006220981 2025-04-26
Change of Registered Office/Agent/Both (by Entity) 0005599389 2024-02-12
Initial Filing 0005567754 2024-01-22

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State