| Name: | Creekside Physical Therapy |
| Jurisdiction: | Minnesota |
| Legal type: | Assumed Name |
| Status: | Inactive |
| Date formed: | 22 Nov 2021 (3 years ago) |
| Company Number: | 1b619898-f14b-ec11-91b5-00155d32b93a |
| File Number: | 1272920800024 |
| Principal Place of Business Address: | 4956 Lincoln Drive, Edina, MN 55436, USA |
| ZIP code: | 55436 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CREEKSIDE PHYSICAL THERAPY | 2010 | 411735440 | 2010-07-27 | CREEKSIDE PHYSICAL THERAPY | 0 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 411735440 |
| Plan administrator’s name | CREEKSIDE PHYSICAL THERAPY |
| Plan administrator’s address | 750 2ND STREET NE, SUITE 106, HOPKINS, MN, 55343 |
| Administrator’s telephone number | 6129369600 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | CREEKSIDE PHYSICAL THERAPY |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 6129369600 |
| Plan sponsor’s address | 750 2ND STREET NE, SUITE 106, HOPKINS, MN, 55343 |
Plan administrator’s name and address
| Administrator’s EIN | 411735440 |
| Plan administrator’s name | CREEKSIDE PHYSICAL THERAPY |
| Plan administrator’s address | 750 2ND STREET NE, SUITE 106, HOPKINS, MN, 55343 |
| Administrator’s telephone number | 6129369600 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-12 |
| Name of individual signing | CREEKSIDE PHYSICAL THERAPY |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 6129369600 |
| Plan sponsor’s address | 750 2ND STREET NE, SUITE 106, HOPKINS, MN, 55343 |
Plan administrator’s name and address
| Administrator’s EIN | 411735440 |
| Plan administrator’s name | CREEKSIDE PHYSICAL THERAPY |
| Plan administrator’s address | 750 2ND STREET NE, SUITE 106, HOPKINS, MN, 55343 |
| Administrator’s telephone number | 6129369600 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-12 |
| Name of individual signing | CREEKSIDE PHYSICAL THERAPY |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Address |
|---|---|---|
| Midwest Wellness Physical Therapy, LLC | Aplicant | 4956 Lincoln Drive, Edina, MN 55436 |
| Filing Name | Filing date |
|---|---|
| Administrative Expiration - Assumed Name | 2023-01-30 |
| Original Filing - Assumed Name (Business Name: Creekside Physical Therapy) | 2021-11-22 |
Date of last update: 25 Sep 2024
Sources: Minnesota's Official State Website
