Individual provider · NPI-1

Dr. Kristina Lynn Coppock, D.C.

Chiropractor, Sports Physician · Yakima, WA

NPI number1992059919
StatusActive
Last updated in NPPESOct 29, 2012

Details

NPI
1992059919
Entity type
Individual (NPI-1)
Name
Dr. Kristina Lynn Coppock
Credential
D.C.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2012
Last updated
Oct 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NS0005X Chiropractor, Sports PhysicianCH60309681WAYes

Other names

  • Kristina Lynn Reisenauer (Former Name)

Practice location

609 S 48th Ave
Yakima, WA 98908-3614

Phone 509-965-9820 · Fax 509-965-9822

Mailing address

609 S 48th Ave
Yakima, WA 98908-3614

Phone 509-965-9820 · Fax 509-965-9822

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