Healthcare Provider Details

I. General information

NPI: 1235060708
Provider Name (Legal Business Name): INNER LIGHT FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E 100 N STE B
LEHI UT
84043-1955
US

IV. Provider business mailing address

325 E 100 N STE B
LEHI UT
84043-1955
US

V. Phone/Fax

Practice location:
  • Phone: 385-389-6200
  • Fax: 385-389-6200
Mailing address:
  • Phone: 385-389-6200
  • Fax: 385-389-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE HAUPTLY IV
Title or Position: OWNER
Credential: DC
Phone: 385-389-6200