Healthcare Provider Details

I. General information

NPI: 1114849510
Provider Name (Legal Business Name): KADE PERFORMANCE INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31503 HARPER AVE
SAINT CLAIR SHORES MI
48082-2455
US

IV. Provider business mailing address

22415 MANOR ST
SAINT CLAIR SHORES MI
48081-2320
US

V. Phone/Fax

Practice location:
  • Phone: 586-500-5496
  • Fax: 248-268-0186
Mailing address:
  • Phone: 586-850-0436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATIE DEWITT
Title or Position: OWNER
Credential: PT, DPT
Phone: 586-500-5496