Renegade Performance LLC
NPI #1952846719 in Sayre, Pennsylvania
Provider Information
- NPI Number
- 1952846719
- Entity Type
- Organization
- Organization Name
- Renegade Performance LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 3, 2017
- Last Updated
- Jan 3, 2017
Practice Location
- Address
- 3226 ELMIRA ST
- City
- Sayre
- State
- Pennsylvania
- ZIP Code
- 18840-2670
- Phone
- (607) 765-3281
Authorized Official
- Name
- DR. RYAN ANTHONY MULLEN, D.C.
- Title
- OWNER
- Phone
- (607) 765-3281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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