Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Life Chiropractic Clinic LLC

Organization Pediatric Chiropractor · NPI 1174877955

Active Life Chiropractic Clinic LLC is a Pediatric Chiropractor in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1015 S 40th Ave Ste 21
Yakima, WA 98908-3868
Phone: (509) 965-9820
Fax: (509) 965-9822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence CH60309681 (WA)
Pediatric Chiropractor Taxonomy 111NP0017X · Licence CH60309681 (WA)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence CH60309678 (WA)
Massage Therapist Taxonomy 225700000X

Record details

NPI number1174877955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Coppock — Owner/Doctor/Office Manager · (509) 965-9820
Other names Active Life Chiropractic
NPI enumeratedNovember 1, 2012
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address1015 S 40th Ave Ste 21, Yakima, WA 98908-3868