Organization
ACTIVE LIFE CHIROPRACTIC CLINIC LLC
Active
Other names
Active Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LYNN COPPOCK D.C. (OWNER/DOCTOR/OFFICE MANAGER)
(509) 965-9820
Entity
Organization
Contact information
Practice address
1015 S 40TH AVE STE 21, YAKIMA, WA 98908-3868
(509) 965-9820
(509) 965-9822
Mailing address
1015 S 40TH AVE STE 21, YAKIMA, WA 98908-3868
(509) 965-9820
(509) 965-9822
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
CH60309681
WA
111NS0005X
Sports Physician Chiropractor
CH60309678
WA
111NS0005X
Sports Physician Chiropractor
Primary
CH60309681
WA
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/01/2012
Last updated
03/31/2026
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