# PRIME PT SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime PT Specialists LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992529408
- **Authorized official:** JAIME DAVEY DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (248) 561-9539

## Contact information

- **Practice address:** 39630 W 14 MILE RD, COMMERCE TOWNSHIP, MI 48390-3909
- **Practice address phone:** (248) 561-9539
- **Mailing address:** 1906 TWIN SUN CIR, WALLED LAKE, MI 48390-4404
- **Mailing address phone:** (248) 561-9539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 01/30/2025