ACTIVE LIFE CHIROPRACTIC CLINIC LLC
NPI 1174877955
Chiropractor - Sports Physician in Yakima, WA

Q: What is Active Life Chiropractic Clinic LLC's NPI number?

The NPI number for Active Life Chiropractic Clinic LLC is 1174877955. It was assigned to this organization in the NPPES registry on November 1, 2012. The provider is doing business as Active Life Chiropractic.

Q: What is Active Life Chiropractic Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since November 01, 2012

1015 S 40TH AVE STE 21, YAKIMA, WA 98908(509) 965-9820(509) 965-9822 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Active Life Chiropractic Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE LIFE CHIROPRACTIC CLINIC LLC (NPI 1174877955), doing business as Active Life Chiropractic, is a healthcare organization registered as a sports physician in Yakima, Washington and active in the NPI registry since November 2012. The organization lists Kristina Lynn Coppock, Owner/doctor/office Manager, as its authorized official.

NPPES Registry Identity

NPI1174877955

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameACTIVE LIFE CHIROPRACTIC CLINIC LLC

Location Address1015 S 40TH AVE STE 21Yakima, WA 98908-3868

Mailing Address1015 S 40th Ave Ste 21Yakima, WA 98908-3868 · (509) 965-9820 · Fax (509) 965-9822

Phone(509) 965-9820

Fax(509) 965-9822

Organization SubpartNo

Authorized OfficialKristina Lynn CoppockOwner/doctor/office Manager · (509) 965-9820

Enumeration DateNovember 1, 2012

Last NPPES UpdateMarch 31, 2026

NPPES CertifiedMarch 31, 2026

✔ NPI 1174877955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Licenses✔ Licensed in WA · CH60309681✔ Licensed in WA · CH60309678

Definition

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.

Also ListedChiropractor · Pediatric ChiropractorTaxonomy 111NP0017X · License CH60309681 (WA)

Also ListedMassage TherapistTaxonomy 225700000X

1015 S 40TH AVE STE 21, Yakima, WA 98908

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Other Names 1

Doing Business AsActive Life Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Life Chiropractic Clinic LLC's NPI number?

The NPI number for Active Life Chiropractic Clinic LLC is 1174877955. It was assigned to this organization in the NPPES registry on November 1, 2012. The provider is doing business as Active Life Chiropractic.

Where is Active Life Chiropractic Clinic LLC located?

Active Life Chiropractic Clinic LLC is located at 1015 S 40th Ave Ste 21, Yakima, WA 98908. The listed phone number is (509) 965-9820.

What is Active Life Chiropractic Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Active Life Chiropractic Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Active Life Chiropractic Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Life Chiropractic Clinic LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.