Renegade Performance LLC

NPI #1568901577 in Sayre, Pennsylvania

Provider Information

NPI Number: 1568901577
Entity Type: Organization
Organization Name: Renegade Performance LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 23, 2017
Last Updated: Feb 23, 2017

Practice Location

Address: 418 S KEYSTONE AVE
City: Sayre
State: Pennsylvania
ZIP Code: 18840-1553
Phone: (570) 886-0385

Authorized Official

Name: DR. RYAN MULLEN, D.C.
Title: OWNER
Phone: (607) 765-3281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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