| Name: | Tri-Vista Rehab, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 25 Mar 2002 (23 years ago) |
| Entity Number: | 000-024-632 |
| Register Number: | 000024632 |
| Branch of: | Tri-Vista Rehab, Inc., Mississippi (Company Number 714772) |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Mississippi |
| Principal Address: | 90 A CLARK BLVDTUPELO, MS 38804 |
| Principal Mailing Address: | PO BOX 3592TUPELO, MS 38804 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962803932 | 2014-09-10 | 2014-10-20 | PO BOX 3592, TUPELO, MS, 388033592, US | 285 W OXMOOR RD, BIRMINGHAM, AL, 352096314, US | |||||||||||||||||||||
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| Phone | +1 662-840-0535 |
| Fax | 6628427915 |
| Phone | +1 205-942-3355 |
Authorized person
| Name | KEVIN BOUTIN |
| Role | PRESIDENT/OWNER |
| Phone | 6622317304 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
