Provider Demographics
NPI:1790652816
Name:PRECISION PERFORMANCE COLLECTIVE
Entity type:Organization
Organization Name:PRECISION PERFORMANCE COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYISICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REID
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-606-0009
Mailing Address - Street 1:43714 DORISA CT
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-2747
Mailing Address - Country:US
Mailing Address - Phone:616-606-0009
Mailing Address - Fax:
Practice Address - Street 1:43714 DORISA CT
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2747
Practice Address - Country:US
Practice Address - Phone:616-606-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports MedicineGroup - Single Specialty