# AYH-MARYVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Activate Your Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952025082
- **Authorized official:** JOHNATHON COPPLE DC (OWNER)
- **Authorized official phone:** (816) 676-9100

## Contact information

- **Practice address:** 1315 S MAIN ST STE B, MARYVILLE, MO 64468-2720
- **Practice address phone:** (660) 224-0884
- **Practice address fax:** (660) 224-0853
- **Mailing address:** 707 N 36TH ST, SAINT JOSEPH, MO 64506-2975
- **Mailing address phone:** (816) 676-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 11/07/2024