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PERFORMANCE PHYSIO, PLLC

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Company Details

Name: PERFORMANCE PHYSIO, PLLC
Jurisdiction: Idaho
Legal type: Professional Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Jul 2018 (7 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 618431
Place of Formation: IDAHO
File Number: 618431
ZIP code: 83854
County: Kootenai County
Principal Address: 784 S CLEARWATER LOOP STE B POST FALLS, ID 83854
Mailing Address: Kyle Palmer STE A 621 MAIN ST LEWISTON, ID 83501-1871

Agent

Name Role Address
DOUGLASS LAW PLLC Agent 322 MAIN ST, JENNIFER B DOUGLASS, LEWISTON, ID 83501

Manager

Name Role Address Appointed On Resigned On
KYLE PALMER Manager 621 MAIN STREET, LEWISTON, ID 83501 2024-06-05 2024-06-05
MELISSA PALMER Manager 621 MAIN STREET, LEWISTON, ID 83501 2021-06-08 No data

National Provider Identifier

NPI Number:
1073097390
Certification Date:
2021-01-28

Authorized Person:

Name:
DR. KYLE JOSEPH PALMER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5092545018

Filing

Filing Name Filing Number Filing date
Annual Report 0006302533 2025-06-06
Annual Report 0005761722 2024-06-05
Annual Report 0005272230 2023-06-07
Annual Report 0004772883 2022-06-06
Annual Report 0004310057 2021-06-08

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1400.00
Total Face Value Of Loan:
1400.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$1,400
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,410.13
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $1,400

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State