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Active Life Physical Therapy L.L.C.

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Company Details

Name: Active Life Physical Therapy L.L.C.
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 14 Mar 2025 (5 months ago)
Business ID: 1480764
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
LEGALINC Corporate Services Inc Agent 4780 1-55 N, SUITE 100, JACKSON, MS 39211

Member

Name Role Address
Alison Kennedy Member 106 Camden Trail, Madison, MS 39110
Jeremy Kennedy Member 106 Camden Trail, Madison, MS 39110

National Provider Identifier

NPI Number:
1104630144
Certification Date:
2025-01-31

Authorized Person:

Name:
JEREMY RAY KENNEDY
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-14 Formation For Active Life Physical Therapy L.L.C.

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Date of last update: 03 Aug 2025

Sources: Company Profile on Mississippi Secretary of State Website