Healthcare Provider Details

I. General information

NPI: 1699670679
Provider Name (Legal Business Name): PRIME PERFORMANCE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2152 WASHTENAW RD
YPSILANTI MI
48197-1708
US

IV. Provider business mailing address

7369 MEADOW LN
YPSILANTI MI
48197-9431
US

V. Phone/Fax

Practice location:
  • Phone: 979-308-8012
  • Fax:
Mailing address:
  • Phone: 979-308-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LAUREN MYERS
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 979-308-8012