Organization · Type 2 NPI

Advanced Spine & Rehabilitation

Medical Specialty Clinic/Center · Henderson, NV

NPI number 1124995410 Active

Practice location

715 Mall Ring Cir Ste 100
Henderson, NV 89014-6666

Fax (702) 990-7711

Mailing address

2168 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6748

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3 other providers at this address

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About NPI 1124995410

Advanced Spine & Rehabilitation's National Provider Identifier is 1124995410, issued on Oct 21, 2025. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Henderson, NV. The record was last updated on Oct 21, 2025.