Healthcare Provider Details

I. General information

NPI: 1770444036
Provider Name (Legal Business Name): HUNTER LUKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 E STRINGHAM AVE RM 2
SALT LAKE CITY UT
84106-2560
US

IV. Provider business mailing address

1240 E STRINGHAM AVE RM 2
SALT LAKE CITY UT
84106-2560
US

V. Phone/Fax

Practice location:
  • Phone: 801-214-1115
  • Fax: 801-340-2115
Mailing address:
  • Phone: 801-214-1115
  • Fax: 801-340-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-505530
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: