OrganizationActive
Advanced Spine and Rehab PC
NPI 1922020858 · Chiropractor · Mesa, AZ
Provider details
- NPI number
- 1922020858
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Crismon, Partner(480) 892-1122
Specialties & taxonomies
Chiropractic Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Chiropractic Providers
Practice location
4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Phone: (480) 892-1122
Fax: (480) 892-2243
Approximate (ZIP-level) locationGet directions
Mailing address
4540 E Baseline Rd Ste 111
Mesa, AZ 85206-4616
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.