Active Life Chiropractic Clinic LLC
NPI #1174877955 in Yakima, Washington
Provider Information
- NPI Number
- 1174877955
- Entity Type
- Organization
- Organization Name
- Active Life Chiropractic Clinic LLC
- Primary Specialty
- Chiropractor - Pediatric Chiropractor
- Enumeration Date
- Nov 1, 2012
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 609 S 48TH AVE
- City
- Yakima
- State
- Washington
- ZIP Code
- 98908-3614
- Phone
- (509) 965-9820
Authorized Official
- Name
- DR. KRISTINA LYNN COPPOCK, D.C.
- Title
- OWNER/DOCTOR/OFFICE MANAGER
- Phone
- (509) 965-9820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Pediatric Chiropractor — Pediatric Chiropractor |
| Chiropractor - Sports Physician — Sports Physician |
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