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ACTIVE LIFE CHIROPRACTIC CLINIC LLC NPI 1174877955


NPI Information

NPI: 1174877955
Provider Name: ACTIVE LIFE CHIROPRACTIC CLINIC LLC

Doing Business As: ACTIVE LIFE CHIROPRACTIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
609 S 48TH AVE
YAKIMA, WA
ZIP 98908
Phone: (509) 965-9820
Get Directions

ACTIVE LIFE CHIROPRACTIC CLINIC LLC is a sports physician chiropractor in Yakima, WA. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. ACTIVE LIFE CHIROPRACTIC CLINIC LLC NPI is 1174877955. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Active Life Chiropractic.

The provider's business location address is:

609 S 48TH AVE
YAKIMA, WA
ZIP 98908-614
Phone: (509) 965-9820
Fax: (509) 965-9822

The provider's authorized official is Kristina Lynn Coppock .
The authorized official title is Owner/doctor/office Manager and has the following contact phone number (509) 965-9820.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NP0017XChiropractorPediatric ChiropractorCH60309681WASHINGTONNo
2111NS0005XChiropractorSports PhysicianCH60309678WASHINGTONNo
3111NS0005XChiropractorSports PhysicianCH60309681WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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