Performance and Wellness, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4180 Issued in MN

Legal business name

PERFORMANCE AND WELLNESS, INC

Practice address

308D Brighton Ave S
Buffalo, MN 55313-2473

Phone

(763) 682-5300

NPI assigned

Oct 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amy Joy Harbaugh, CHIROPRACTOR

Title

President

Phone

(763) 382-5300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1164610184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308D BRIGHTON AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132473",
            "telephone_number": "763-682-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308D BRIGHTON AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132473",
            "telephone_number": "763-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HARBAUGH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-382-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pca Positive Direction
• PCC, Inc (Professional Counseling Center of Buffalo)
• Jonathan Eric Pearson, PTA
• Jamie Pederson, RN
• Mark Pederson, LP
• Douglas Peterson, M.D.
• Melissa Pfaff, RN
• Shannon Pfeifer
• Richard James Phipps II, CRNA
• Tricia Pirsig, LADC

• Chiropractor in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.