Renegade Performance LLC

Chiropractor · Sayre, PA

Organization Active NPI

NPI number 1568901577

Practice location

418 S Keystone Ave
Sayre, PA 18840-1553
Phone
(570) 886-0385

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NPI record

NPI
1568901577
Entity type
Organization (Type 2)
Enumeration date
February 23, 2017
Last updated
February 23, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC011215 PA

Mailing address

413 Seneca St
Sayre, PA 18840-1742
Phone
(607) 765-3281

Authorized official

Name
Dr. Ryan Mullen, D.C.
Title
Owner
Phone
(607) 765-3281

About Renegade Performance LLC

Renegade Performance LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 418 S Keystone Ave, Sayre, PA 18840-1553. The NPI number 1568901577 was assigned on February 23, 2017 and the record was last updated on February 23, 2017.

Renegade Performance LLC lists a license in the registry: #DC011215 (PA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ryan Mullen, D.C., Owner.

Frequently asked questions

What is the NPI number of Renegade Performance LLC?

The NPI number is 1568901577.

What is the phone number of Renegade Performance LLC?

The phone number listed for the practice location is (570) 886-0385.

Where is Renegade Performance LLC located?

418 S Keystone Ave, Sayre, PA 18840-1553.

What is the taxonomy code for Renegade Performance LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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