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MYOFASCIAL RELEASE TREATMENT CENTER OF IDAHO, LLC

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Company Details

Name: MYOFASCIAL RELEASE TREATMENT CENTER OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Sep 2003 (22 years ago)
Financial Date End: 30 Sep 2015
Date dissolved: 16 Dec 2015
Entity Number: 91814
Place of Formation: IDAHO
File Number: 0000091814
ZIP code: 83705
County: Ada County
Principal Address: 2404 W BANK DRIVE SUITE 101 BOISE, ID 83705

National Provider Identifier

NPI Number:
1295897213

Authorized Person:

Name:
MRS. LINDA ANN CHATBURN
Role:
OWNERMEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083237651

Filing

Filing Name Filing Number Filing date
Annual Report 0001262925 2014-07-23
Annual Report 0001262924 2013-07-14
Annual Report 0001262923 2012-07-23
Annual Report 0001262922 2011-07-15
Annual Report 0001262921 2010-07-09

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State