Provider Demographics
NPI:1104195171
Name:GUNTHER, LEE HARTMAN (DC)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:HARTMAN
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 EAST 800 SOUTH
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 EAST 800 SOUTH
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
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5420154-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor