<Unavail>

LBN: Active Life Chiropractic Clinic Llc
<Unavail> is an health care organization with primary practice located at 1015 S 40Th Ave Ste 21 , Yakima WA 98908-3868. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Sports Physician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Sports Physician is the primary health care specialty. Active Life Chiropractic Clinic Llc can be contacted via phone (509) 965-9820, or through Coppock, Kristina Lynn via phone (509) 965-9820.

Contact Information

Primary practice address
1015 S 40Th Ave Ste 21 Yakima WA 98908-3868
Phone: (509) 965-9820
Fax: (509) 965-9822
Website:
Map and Directions
Authorized official contact:
Name: Coppock, Kristina Lynn Doctor of Chiropractic (DC)
Phone: (509) 965-9820

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Pediatric Chiropractor 111NP0017X CH60309681 Washington
Chiropractic Providers / Sports Physician 111NS0005X CH60309678 Washington
Chiropractic Providers / Sports Physician 111NS0005X CH60309681 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1174877955
LBN Legal business name Active Life Chiropractic Clinic Llc
DBA Doing business as <Unavail>
Authorized official Coppock, Kristina Lynn Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Mar 31st, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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