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General NPI Number Information
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NPI Number | 1124312624
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Entity Type | Organization
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Legal Business Name | LUBBOCK PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 6500 QUAKER AVE SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79413-5100
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Country | US
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Telephone | 806-785-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 QUAKER AVE SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79413-5100
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Country | US
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Telephone | 806-785-7771
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELMER VELASCO LIM
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Credential | PT
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Telephone | 806-785-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1107050
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1033702
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License Number State | TX
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