| Doctor Name: | M JAY PLATT |
| NPI Number: | 1073634507 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1029148 |
| Business Practice Address: | 3735 Country Club Cir Fort Worth, TX - 761091035 |
| Business Phone Number: | 5126381630 |
| Business Fax Number: | 8179260118 |
| Mailing Address: | 3735 Country Club Cir, FORT WORTH |
| State: | TX |
| Postal Code: | 761091035 |
| Phone Number: | 5126381630 |
| Fax Number: | 8179260118 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 09/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1029148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |