| Name: | TheraSport, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 21 Apr 2003 (22 years ago) |
| Entity Number: | 000-228-651 |
| Register Number: | 000228651 |
| ZIP code: | 35801 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 400 MERIDIAN ST STE 301HUNTSVILLE, AL 35801 |
| Authorized Capital: | 5,000 NPV |
| Paid Share Capital: | 5,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760662233 | 2007-11-13 | 2024-10-03 | PO BOX 1966, RAINSVILLE, AL, 359861966, US | 598 MAIN ST E, RAINSVILLE, AL, 359864541, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-638-1150 |
| Fax | 2566381158 |
Authorized person
| Name | MRS. MINDI MEADOWS |
| Role | CEO |
| Phone | 2566381150 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH3371 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUS SHIELD |
| Number | 51514927 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JUDGE, ALAN P | Agent | 3315 MEMORIAL PKWY SW BLDG 600 STEB1HUNTSVILLE, AL 35801 |
| Name | Role |
|---|---|
| LOWRY, MINDI MEADOWS | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
