-
Home Page
›
-
Counties
›
-
Latah County
›
-
83871
›
-
Wild Rose Physio PLLC
Company Details
| Name: |
Wild Rose Physio PLLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
04 Apr 2024 (a year ago)
|
| Financial Date End: |
30 Apr 2026 |
| Entity Number: |
5696128 |
| Place of Formation: |
IDAHO |
| File Number: |
932364 |
| ZIP code: |
83871
|
| County: |
Latah County |
| Principal Address: |
1810 HIGHWAY 99 TROY, ID 83871 |
| Mailing Address: |
PO BOX 51 TROY, ID 83871-0051 |
Agent
| Name |
Role |
Address |
|
LAUREN JENTGES
|
Agent
|
1810 HIGHWAY 99, TROY, ID 83871
|
Managing Member
| Name |
Role |
Address |
Appointed On |
|
LAUREN JENTGES
|
Managing Member
|
PO BOX 51, TROY, ID 83871
|
2025-04-14
|
National Provider Identifier
Certification Date:
2024-06-04
Authorized Person:
Taxonomy:
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Contacts:
This company hasn't received any reviews.
Date of last update: 22 May 2025
Sources:
Idaho Secretary of State
