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Selkirk Physical Therapy, PC

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Company Details

Name: Selkirk Physical Therapy, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Jan 2025 (5 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6076683
Place of Formation: IDAHO
File Number: 973849
ZIP code: 83864
County: Bonner County
Mailing Address: 483 WOODLAND DR SANDPOINT, ID 83864-7211

Agent

Name Role Address
Kenneth G Fischer Agent 483 WOODLAND DRIVE, SANDPOINT, ID 83864

National Provider Identifier

NPI Number:
1063218444
Certification Date:
2025-02-24

Authorized Person:

Name:
KENNETH G FISCHER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2085933097

Filing

Filing Name Filing Number Filing date
Initial Filing 0006076683 2025-01-21

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State