Provider Demographics
NPI:1831654987
Name:CLARITY, ALYSSA LOUANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:LOUANN
Last Name:CLARITY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:LOUANN
Other - Last Name:BERGSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1322 3RD ST STE 4
Mailing Address - Street 2:
Mailing Address - City:INTERNATIONAL FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56649-2129
Mailing Address - Country:US
Mailing Address - Phone:218-324-2219
Mailing Address - Fax:
Practice Address - Street 1:1322 3RD ST STE 4
Practice Address - Street 2:
Practice Address - City:INTERNATIONAL FALLS
Practice Address - State:MN
Practice Address - Zip Code:56649-2129
Practice Address - Country:US
Practice Address - Phone:218-283-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor