OrganizationActive
Advanced Spine & Sports Medicine LLC
NPI 1265474571 · Chiropractor · Wallingford, CT
Provider details
- NPI number
- 1265474571
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kurt Marschner, Owner(203) 265-7900
- License
- 001350 (CT)
Specialties & taxonomies
Chiropractic Providers
Practice location
821 N Main Street Ext
Suite 110
Wallingford, CT 06492-2464
Phone: (203) 265-7900
Fax: (203) 265-7756
Approximate (ZIP-level) locationGet directions
Mailing address
26 Valley St
Wallingford, CT 06492-3542
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2020-04-15
- Certified
- 2020-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.