Provider Demographics
NPI:1104607175
Name:KROEKER, LUKE (DC)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:
Last Name:KROEKER
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 1:4200 N SEASONS VIEW DR APT G2060
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6233
Mailing Address - Country:US
Mailing Address - Phone:971-264-4426
Mailing Address - Fax:
Practice Address - Street 1:4200 N SEASONS VIEW DR APT G2060
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6233
Practice Address - Country:US
Practice Address - Phone:971-264-4426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13609992-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor