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MANTOOTH PHYSICAL THERAPY, LLC

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Company Details

Name: MANTOOTH PHYSICAL THERAPY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 07 Mar 2019 (6 years ago)
Organization Date: 07 Mar 2019 (6 years ago)
Last Annual Report: 28 Jun 2022 (3 years ago)
Managed By: Members
Organization Number: 1051085
ZIP code: 42754
City: Leitchfield
Primary County: Grayson County
Principal Office: 479 N RIVERBEND RD, LEITCHFIELD, KY 42754
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARYVIVIAN MANTOOTH Registered Agent

Organizer

Name Role
MARYVIVIAN MANTOOTH Organizer

Member

Name Role
Mary V Mantooth Member

National Provider Identifier

NPI Number:
1689297152
Certification Date:
2020-05-19

Authorized Person:

Name:
MRS. MARY VIVIAN MANTOOTH
Role:
PHYSICAL THERAPIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Principal Office Address Change 2022-06-28
Annual Report 2022-06-28
Principal Office Address Change 2021-04-23
Annual Report 2021-04-23

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Sources: Kentucky Secretary of State