Healthcare Provider Details

I. General information

NPI: 1881522670
Provider Name (Legal Business Name): PRECISION PERFORMANCE INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NW EXPRESSWAY STE 210
OKLAHOMA CITY OK
73118-1850
US

IV. Provider business mailing address

1900 NW EXPRESSWAY STE 210
OKLAHOMA CITY OK
73118-1850
US

V. Phone/Fax

Practice location:
  • Phone: 405-919-7174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LESHA BURGESS
Title or Position: CEO
Credential:
Phone: 405-919-7174