Eileen Jaquez, PTA

Physical Therapy Assistant · Odessa, TX

Individual Active NPI

NPI number 1518741420

Practice location

2760 N Grandview Ave Ste a
Odessa, TX 79762-6953
Phone
(432) 552-7034
Fax
(432) 552-7165

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NPI record

NPI
1518741420
Entity type
Individual (Type 1)
Enumeration date
August 22, 2023
Last updated
August 22, 2023
Certified
June 27, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2177699 TX

About Eileen Jaquez

Eileen Jaquez, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2760 N Grandview Ave Ste a, Odessa, TX 79762-6953. The NPI number 1518741420 was assigned on August 22, 2023 and the record was last updated on August 22, 2023.

Eileen Jaquez lists a license in the registry: #2177699 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen Jaquez, PTA?

The NPI number is 1518741420.

What is the phone number of Eileen Jaquez?

The phone number listed for the practice location is (432) 552-7034.

Where is Eileen Jaquez located?

2760 N Grandview Ave Ste a, Odessa, TX 79762-6953.

What is the taxonomy code for Eileen Jaquez?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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