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NPI Code Detail

MEDICARE: PROACTIVE PERFORMANCE, LLC

MEDICARE: PROACTIVE PERFORMANCE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1881543619
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROACTIVE PERFORMANCE, LLC
Provider Business Mailing Address
First Line : 29912 MAISON ST
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48082-1895
Country : US
Telephone Number : 586-879-4987
Fax Number :
Provider Business Practice Location Address
First Line : 31302 STEPHENSON HWY
Second Line :
City : MADISON HEIGHTS
State : MI
Zip : 48071-1634
Country : US
Telephone Number : 586-879-4987
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : VERONICA PRIEUR
Credential : PT, DPT
Telephone Number : 586-879-4987
Provider Enumeration Date : 01/26/2026
Last Update Date : 02/03/2026

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Directions to “PROACTIVE PERFORMANCE, LLC ” Practice Location

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