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Paula K PT, LLC

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Company Details

Name: Paula K PT, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 May 2024 (a year ago)
Financial Date End: 31 May 2026
Entity Number: 5752226
Place of Formation: IDAHO
File Number: 939609
ZIP code: 83704
County: Ada County
Principal Address: 9902 W SUNFLOWER LN BOISE, ID 83704
Mailing Address: 5995 W STATE ST GARDEN CITY, ID 83703

Agent

Name Role Address
Paula A Kosberg Agent 5995 W STATE ST, STE A, GARDEN CITY, ID 83703-3085

Manager

Name Role Address Appointed On
Paula A Kosberg Manager 5995 W STATE ST, GARDEN CITY, ID 83703 2025-04-23

National Provider Identifier

NPI Number:
1417792235
Certification Date:
2024-06-25

Authorized Person:

Name:
PAULA AUGUSTINA KOSBERG
Role:
OWNER/ PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
2082545206

Filing

Filing Name Filing Number Filing date
Annual Report 0006215634 2025-04-23
Initial Filing 0005752226 2024-05-31

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Date of last update: 21 Jun 2025

Sources: Idaho Secretary of State