MEDICARE: RACHEL KUNTZ DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	12819	SC
2	225100000X	Physical Therapist	6354	NV

General Provider Information

NPI Number	:	1154185577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL KUNTZ DPT

Provider Business Mailing Address
First Line	:	451 RIDGE RD
Second Line	:
City	:	LEESVILLE
State	:	SC
Zip	:	29070-8753
Country	:	US
Telephone Number	:	803-580-7170
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 PARADISE RD STE V
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0930
Country	:	US
Telephone Number	:	702-369-0560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	04/21/2025

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