Provider Demographics
NPI:1073651535
Name:PLATT, STUART HARLEY (PT, MSPT)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:HARLEY
Last Name:PLATT
Suffix:
Gender:M
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 AMSTERDAM AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3418
Mailing Address - Country:US
Mailing Address - Phone:404-875-2208
Mailing Address - Fax:
Practice Address - Street 1:691 AMSTERDAM AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3418
Practice Address - Country:US
Practice Address - Phone:404-875-2208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2966225100000X
TX1102069225100000X
NJ40QA00798400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist