Active Life Chiropractic Clinic Llc

NPI 1174877955 - Chiropractor - 111NP0017X

NPI Details
NPI 1174877955
Enumeration Date 11/01/2012
Last Updated 11/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KRISTINA LYNN KRISTINA
Position OWNER/DOCTOR/OFFICE MANAGER
Phone (509) 965-9820
Fax (509) 965-9822
Practice Location
609 S 48TH AVE
YAKIMA WA, 98908-3614, US
Phone (509) 965-9820
Fax (509) 965-9822
Business Location
609 S 48TH AVE
YAKIMA WA, 98908-3614, US
Phone (509) 965-9820
Fax (509) 965-9822
Toxanomy
Taxonomy Code 111NP0017X
License State Washington
License Number CH60309681
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According to our database, Active Life Chiropractic Clinic Llc NPI is 1174877955, taxonomy code is 111NP0017X and license number is CH60309681, license state is located at Washington. Active Life Chiropractic Clinic Llc physically located at 609 S 48th Ave, Yakima WA, 98908-3614. NPI Number 1033115704 has the healthcare provider type.

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1174877955 NPI number is provided on an as is basis without warranty of any kind. 1174877955 is maintained by the National Plan & Provider Enumeration System. The contents of Active Life Chiropractic Clinic Llc are for informational purposes only.