Healthcare Provider Details

I. General information

NPI: 1447957147
Provider Name (Legal Business Name): PRO MOTION CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S 1ST ST
BRIGHTON MI
48116-1403
US

IV. Provider business mailing address

827 WESTBROOKE DR
SOUTH LYON MI
48178-1667
US

V. Phone/Fax

Practice location:
  • Phone: 248-912-8239
  • Fax:
Mailing address:
  • Phone: 248-912-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW ALEX MECHALKO
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 248-912-8239