Healthcare Provider Details

I. General information

NPI: 1689557043
Provider Name (Legal Business Name): GARRITT KUNTZ DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 LITTLE YORK RD STE 10
DAYTON OH
45414-5803
US

IV. Provider business mailing address

6551 CENTERVILLE BUSINESS PKWY STE 120
DAYTON OH
45459-2696
US

V. Phone/Fax

Practice location:
  • Phone: 800-824-9861
  • Fax:
Mailing address:
  • Phone: 937-415-9100
  • Fax: 937-415-9191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05014461A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP048599T
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: