Provider Demographics
NPI:1104894351
Name:PLATSAKIS, GEORGE (PT)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:PLATSAKIS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 WILLOWBROOK DR
Mailing Address - Street 2:APT.# I 11
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-8101
Mailing Address - Country:US
Mailing Address - Phone:615-907-1901
Mailing Address - Fax:
Practice Address - Street 1:2325 WILLOWBROOK DR
Practice Address - Street 2:APT.# I 11
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-8101
Practice Address - Country:US
Practice Address - Phone:615-907-1901
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist