Healthcare Provider Details

I. General information

NPI: 1639019607
Provider Name (Legal Business Name): HUNTER LEE TRAVER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E MICHIGAN AVE
GRAYLING MI
49738-1741
US

IV. Provider business mailing address

114 E MICHIGAN AVE
GRAYLING MI
49738-1741
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-4560
  • Fax: 989-348-1663
Mailing address:
  • Phone: 989-348-4560
  • Fax: 989-348-1663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401685
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: