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PERFORMANCE CHIROPRACTIC AND SPORTS CLINIC
NPI 1487745477
Chiropractor in Grand Rapids, MN

Active since September 27, 2006
104 NE 3RD ST, SUITE 220, GRAND RAPIDS, MN 55744(218) 326-0604(218) 326-1509 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Performance Chiropractic And Sports Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE CHIROPRACTIC AND SPORTS CLINIC (NPI 1487745477), doing business as Performance Chiropractic And Soft Tissue Clinic, is a healthcare organization registered as a chiropractor in Grand Rapids, Minnesota and active in the NPI registry since September 2006. The organization lists Adam Zachman, Owner, as its authorized official.

NPPES Registry Identity

NPI1487745477
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePERFORMANCE CHIROPRACTIC AND SPORTS CLINIC
Location Address104 NE 3RD ST, SUITE 220Grand Rapids, MN 55744
Mailing Address104 Ne 3rd St, Suite 220Grand Rapids, MN 55744 · (218) 326-0604 · Fax (218) 326-1509
Phone(218) 326-0604
Fax(218) 326-1509
Organization SubpartNo
Authorized OfficialAdam ZachmanOwner · (218) 326-0604
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 31, 2013
✔ NPI 1487745477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4472
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
104 NE 3RD ST, Grand Rapids, MN 55744
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Other Names 1

Former Legal Business NamePerformance Chiropractic And Soft Tissue Clinic

Other Identifiers 4

Medicare UPINC03460MN
Medicare ID-Type Unspecified350003033MN
Medicare UPINU98068MN
Medicaid120187500MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC SODERBERG DC
Chiropractor
104 NE 3RD ST
GRAND RAPIDS, MN 55744
Itasca County (218) 301-7226
DR. ADAM MARK ZACHMAN DC
Chiropractor
104 NE 3RD ST, STE 220
GRAND RAPIDS, MN 55744
Itasca County (763) 670-3379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Chiropractic And Sports Clinic's NPI number?

The NPI number for Performance Chiropractic And Sports Clinic is 1487745477. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider was formerly known as Performance Chiropractic And Soft Tissue Clinic.

Where is Performance Chiropractic And Sports Clinic located?

Performance Chiropractic And Sports Clinic is located at 104 NE 3rd St Suite 220, Grand Rapids, MN 55744. The listed phone number is (218) 326-0604.

What is Performance Chiropractic And Sports Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Performance Chiropractic And Sports Clinic was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.