Provider Demographics
NPI:1326483553
Name:LEE HARTMAN GUNTHER
Entity Type:Organization
Organization Name:LEE HARTMAN GUNTHER
Other - Org Name:HANSEN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:GUNTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-225-2457
Mailing Address - Street 1:218 E 800 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5008
Mailing Address - Country:US
Mailing Address - Phone:801-225-2457
Mailing Address - Fax:801-225-2537
Practice Address - Street 1:218 E 800 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5008
Practice Address - Country:US
Practice Address - Phone:801-225-2457
Practice Address - Fax:801-225-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT54201541202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty