Provider Demographics
NPI:1679218903
Name:CLARITY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CLARITY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WALKER
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-212-5715
Mailing Address - Street 1:5525 MERLE HAY RD STE 165
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1446
Mailing Address - Country:US
Mailing Address - Phone:515-212-5715
Mailing Address - Fax:
Practice Address - Street 1:5525 MERLE HAY RD STE 165
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1446
Practice Address - Country:US
Practice Address - Phone:515-212-5715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty