Provider Demographics
NPI:1144031675
Name:PEAK PERFORMANCE CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:PEAK PERFORMANCE CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BALEGO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-380-6111
Mailing Address - Street 1:12750 NICOLLET AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4094
Mailing Address - Country:US
Mailing Address - Phone:952-807-9914
Mailing Address - Fax:952-807-9928
Practice Address - Street 1:12750 NICOLLET AVE STE 303
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4094
Practice Address - Country:US
Practice Address - Phone:507-476-7345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1144812215OtherNATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES)
MN1043027287OtherNATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES)