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Palouse Pelvic Rehabilitation & Physical Therapy, PLLC

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Company Details

Name: Palouse Pelvic Rehabilitation & Physical Therapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Mar 2025 (3 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6174926
Place of Formation: IDAHO
File Number: 985478
ZIP code: 83843
County: Latah County
Principal Address: KIM FLETCHER 1944 CRESTVIEW DR MOSCOW, ID 83843
Mailing Address: KIM FLETCHER 1944 CRESTVIEW DR MOSCOW, ID 83843-9657

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1194510867
Certification Date:
2025-04-11

Authorized Person:

Name:
KIMBERLY FLETCHER
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006174926 2025-03-26

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State