# FREEDOM PERFORMANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922778307
- **Authorized official:** BRADEN J MENGARELLI (OWNER)
- **Authorized official phone:** (928) 440-7372

## Contact information

- **Practice address:** 600 E MOELLER ST STE 5, PRESCOTT, AZ 86301-2692
- **Practice address phone:** (928) 420-3804
- **Mailing address:** 920 E UPPER SKY TERRACE DR, PRESCOTT, AZ 86303-5448
- **Mailing address phone:** (928) 420-3804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 03/14/2023