Provider Demographics
NPI:1649381401
Name:GUTHRIE, TERRY MICHAEL (AUD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:MICHAEL
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 WOODLAND PARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5620
Mailing Address - Country:US
Mailing Address - Phone:801-682-4089
Mailing Address - Fax:801-217-6266
Practice Address - Street 1:1536 WOODLAND PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5620
Practice Address - Country:US
Practice Address - Phone:801-682-4089
Practice Address - Fax:801-217-6266
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14225346-4101231H00000X
TX50527237600000X, 231H00000X
237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB130637Medicare PIN