Provider Demographics
NPI:1326119959
Name:KNORR, ULRICH GEORG (ND)
Entity Type:Individual
Prefix:
First Name:ULRICH
Middle Name:GEORG
Last Name:KNORR
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2188 SOUTH HIGHLAND DRIVE
Mailing Address - Street 2:207
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2188 SOUTH HIGHLAND DRIVE
Practice Address - Street 2:207 EASTSIDE NATIONAL HEALTH CLINIC
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106
Practice Address - Country:US
Practice Address - Phone:801-474-3684
Practice Address - Fax:801-474-3604
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3406887100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath