Provider Demographics
NPI:1053808345
Name:KUNTZ, TYLER (DC)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:
Last Name:KUNTZ
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 1:7 GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5809
Mailing Address - Country:US
Mailing Address - Phone:603-729-0009
Mailing Address - Fax:603-729-0019
Practice Address - Street 1:7 GRANGE RD
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5809
Practice Address - Country:US
Practice Address - Phone:603-729-0009
Practice Address - Fax:603-729-0019
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2495111N00000X
NH1064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor