Provider Demographics
NPI:1447305198
Name:LAYTON HILLS CHIROPRACTIC
Entity type:Organization
Organization Name:LAYTON HILLS CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:KUNZLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-525-1471
Mailing Address - Street 1:471 HERITAGE PARK BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:471 HERITAGE PARK BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5712
Practice Address - Country:US
Practice Address - Phone:801-525-1471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT528392376001Medicaid
UT1144374059OtherDR KUNZLER NPI
UT52839237677001OtherBCBS
UTU73836Medicare UPIN