Organization · Type 2 NPI
Active Life Chiropractic Clinic LLC
Sports Physician Chiropractor · Yakima, WA
Practice location
1015 S 40th Ave Ste 21
Yakima, WA 98908-3868
Fax (509) 965-9822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Chiropractor | 111NP0017X | CH60309681 (WA) |
| Sports Physician Chiropractor | 111NS0005X | CH60309678 (WA) |
| Sports Physician Chiropractor Primary | 111NS0005X | CH60309681 (WA) |
| Massage Therapist | 225700000X | None listed |
Sports Physician Chiropractor: 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 …
About NPI 1174877955
Active Life Chiropractic Clinic LLC's National Provider Identifier is 1174877955, issued on Nov 1, 2012. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Yakima, WA. The record was last updated on Mar 31, 2026.