OrganizationActive
Active Life Chiropractic Clinic LLC
NPI 1174877955 · Sports Physician Chiropractor · Yakima, WA
Provider details
- NPI number
- 1174877955
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Authorized official
- Kristina Coppock, Owner/Doctor/Office Manager
- License
- CH60309681 (WA)
Practice location
1015 S 40th Ave Ste 21
Yakima, WA 98908-3868
Phone: (509) 965-9820
Fax: (509) 965-9822
Mailing address
1015 S 40th Ave Ste 21
Yakima, WA 98908-3868
Registry dates
- Enumerated
- 2012-11-01
- Last updated
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.