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General NPI Number Information
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NPI Number | 1114849510
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Entity Type | Organization
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Legal Business Name | KADE PERFORMANCE INSTITUTE, PLLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 31503 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-2455
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Country | US
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Telephone | 586-500-5496
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Fax | 248-268-0186
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Provider Business Mailing Address
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Address Line | 22415 MANOR ST
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-2320
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Country | US
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Telephone | 586-850-0436
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE DEWITT
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Credential | PT, DPT
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Telephone | 586-500-5496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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