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ProActive Physical Therapy LLC

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Company Details

Name: ProActive Physical Therapy LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Aug 2024 (10 months ago)
Business ID: 1454819
ZIP code: 39150
County: Claiborne
State of Incorporation: MISSISSIPPI
Principal Office Address: 701 Anthony StreetPort Gibson, MS 39150

Agent

Name Role Address
Kendrique Morgan Agent 167 Gordon Station, Port Gibson, MS 39150

Organizer

Name Role Address
Meeka Allen Organizer 167 Gordon Station Road Annex, Port Gibson, MS 39150

Member

Name Role Address
Kendrique Akeem Morgan Member 167 Gordon Station, Port Gibson, MS 39150

National Provider Identifier

NPI Number:
1538969795
Certification Date:
2025-03-17

Authorized Person:

Name:
DR. KENDRIQUE AKEEM MORGAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-26 Annual Report For ProActive Physical Therapy LLC
Formation Form Filed 2024-08-21 Formation For ProActive Physical Therapy LLC

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Date of last update: 07 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website