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RENEGADE PERFORMANCE LLC
NPI 1568901577
Chiropractor in Sayre, PA

Active since February 23, 2017
418 S KEYSTONE AVE, SAYRE, PA 18840(570) 886-0385 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renegade Performance Llc NPPES

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

RENEGADE PERFORMANCE LLC (NPI 1568901577) is a healthcare organization registered as a chiropractor in Sayre, Pennsylvania and active in the NPI registry since February 2017. The organization lists Ryan Mullen, Owner, as its authorized official.

NPPES Registry Identity

NPI1568901577
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRENEGADE PERFORMANCE LLC
Location Address418 S KEYSTONE AVESayre, PA 18840-1553
Mailing Address413 Seneca StSayre, PA 18840-1742 · (607) 765-3281
Phone(570) 886-0385
Organization SubpartNo
Authorized OfficialRyan MullenOwner · (607) 765-3281
Enumeration DateFebruary 23, 2017
✔ NPI 1568901577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011215
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.
418 S KEYSTONE AVE, Sayre, PA 18840
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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 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. HOLLY SNYDER DC, LAC
Chiropractor
418 S KEYSTONE AVE
SAYRE, PA 18840
Bradford County (570) 886-0385
DR. RYAN ANTHONY MULLEN DC
Chiropractor
418 S KEYSTONE AVE
SAYRE, PA 18840
Bradford County (570) 886-0385

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 Renegade Performance LLC's NPI number?

The NPI number for Renegade Performance LLC is 1568901577. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Renegade Performance LLC located?

Renegade Performance LLC is located at 418 S Keystone Ave, Sayre, PA 18840. The listed phone number is (570) 886-0385.

What is Renegade Performance LLC'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 Renegade Performance LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.