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BLUE GRASS PHYSIOTHERAPY, PLLC

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Company Details

Name: BLUE GRASS PHYSIOTHERAPY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 05 Sep 2000 (25 years ago)
Organization Date: 05 Sep 2000 (25 years ago)
Last Annual Report: 24 Jun 2008 (17 years ago)
Managed By: Members
Organization Number: 0500508
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 117 TRADEPARK DR., SOMERSET, KY 42503
Place of Formation: KENTUCKY

Member

Name Role
David D Escobar Member
George W Loze Member

Registered Agent

Name Role
DAVID ESCOBAR Registered Agent

Signature

Name Role
David Escobar Signature
George W Loze Signature

Organizer

Name Role
DAVID ESCOBAR Organizer

National Provider Identifier

NPI Number:
1679669600

Authorized Person:

Name:
GEORGE WILLIAM LOZE
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
6066784336

Filings

Name File Date
Administrative Dissolution 2009-11-03
Annual Report 2008-06-24
Annual Report 2007-03-27
Annual Report 2006-08-04
Annual Report 2005-06-22

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Sources: Kentucky Secretary of State