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ACTIVE LIFE CHIROPRACTIC CLINIC LLC

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Company Details

Legal Name: ACTIVE LIFE CHIROPRACTIC CLINIC LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 1st 2012
Expiration date: 31 Aug 2026
UBI Number: 603 227 191
ZIP code: 98908
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 609 S 48TH AVE, YAKIMA, WA, 98908-3614, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $6,254

Contact Details

E-Mail: KCOPPOCK@ACTIVE-LIFE-CHIROPRACTIC.COM
Phone Number: +1 509-965-9820

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KRISTINA COPPOCK Registered Agent 609 S 48TH AVE, YAKIMA, WA, 98908-0000, UNITED STATES

Key Officers & Management

Name Role Address
KRISTINA COPPOCK Governing Person 3207 JEFFERSON AVE, YAKIMA, WA, 98902-2240, UNITED STATES
NATHAN COPPOCK Governing Person 3207 JEFFERSON AVE, YAKIMA, WA, 98902-2240, UNITED STATES

National Provider Identifier

NPI Number:
1174877955

Authorized Person:

Name:
DR. KRISTINA LYNN COPPOCK
Role:
OWNER/DOCTOR/OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111NP0017X - Pediatric Chiropractor
Is Primary:
No
Selected Taxonomy:
111NS0005X - Sports Physician Chiropractor
Is Primary:
No
Selected Taxonomy:
111NS0005X - Sports Physician Chiropractor
Is Primary:
Yes

Contacts:

Fax:
5099659822
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