Healthcare Provider Details

I. General information

NPI: 1427970540
Provider Name (Legal Business Name): SAMUEL GRANTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN ST
HAMILTON OH
45013-1605
US

IV. Provider business mailing address

7567 CENTRAL PARKE BLVD STE A
MASON OH
45040-6855
US

V. Phone/Fax

Practice location:
  • Phone: 513-737-4567
  • Fax: 513-737-1064
Mailing address:
  • Phone: 513-701-6100
  • Fax: 513-701-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: