Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

417 Performance Chiro LLC

Organization Chiropractor · NPI 1770326480

417 Performance Chiro LLC is a Chiropractor in Springfield, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4728 S Campbell Ave Ste 132
Springfield, MO 65810-1715
Phone: (417) 597-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1770326480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Bolin — Director/Doctor · (417) 425-2759
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address4728 S Campbell Ave Ste 132, Springfield, MO 65810-1715

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