Provider Demographics
NPI:1760593123
Name:KAPLAN, GEOFFREY JAY (ATC, PT, CSCS)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:JAY
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:ATC, PT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RELIANT PARK
Mailing Address - Street 2:RELIANT STADIUM
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:832-667-2214
Mailing Address - Fax:832-667-2185
Practice Address - Street 1:2 RELIANT PARK
Practice Address - Street 2:RELIANT STADIUM
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:832-667-2214
Practice Address - Fax:832-667-2185
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54302251S0007X
TN03332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports