Provider Demographics
NPI:1144743014
Name:NEWMAN, ALYSSA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 56TH STREET TRL
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52213-9267
Mailing Address - Country:US
Mailing Address - Phone:319-540-4002
Mailing Address - Fax:
Practice Address - Street 1:4515 LEWIS ACCESS RD SUITE 700
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:IA
Practice Address - Zip Code:52213-5221
Practice Address - Country:US
Practice Address - Phone:319-540-4002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor