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Ram Rehab LLC

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Company Details

Name: Ram Rehab LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Dec 2024 (6 months ago)
Financial Date End: 31 Dec 2025
Entity Number: 6016743
Place of Formation: IDAHO
File Number: 967059
ZIP code: 83706
County: Ada County
Principal Address: 33 N PHILLIPPI ST BOISE, ID 83706
Mailing Address: KHRIS KORELL 33 N PHILLIPPI ST BOISE, ID 83706-1417

Agent

Name Role Address
STEVEN WIELAND Agent 512 W IDAHO, STE 103, BOISE, ID 83702

National Provider Identifier

NPI Number:
1407662729
Certification Date:
2024-12-10

Authorized Person:

Name:
KHRISTOPHER KORELL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006016743 2024-12-08

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Date of last update: 23 May 2025

Sources: Idaho Secretary of State