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CANFIELD PHYSICAL THERAPY PC

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Company Details

Name: CANFIELD PHYSICAL THERAPY PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 27 Apr 2011 (14 years ago)
Financial Date End: 30 Apr 2020
Date dissolved: 30 Dec 2019
Entity Number: 576576
Place of Formation: IDAHO
File Number: 576576
ZIP code: 83835
County: Kootenai County
Mailing Address: PO BOX 3138 HAYDEN, ID 83835-3138

Agent

Name Role Address
LORI-ANN BLUE-TIERNEY Agent 402 W CANFIELD AVE STE 5, COEURD'ALENE, ID 83815

National Provider Identifier

NPI Number:
1346531969

Authorized Person:

Name:
LORI-ANN BLUEMER-TIERNEY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2087720246

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0003722613 2019-12-30
Annual Report 0003526355 2019-05-29
Annual Report 0003235370 2018-02-26
Annual Report 0003235369 2017-02-21
Annual Report 0003235368 2016-03-06

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State