MEDICARE: MR. JOHN RUSSELL LOWE MPT, MAT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1151247	TX
2	2255A2300X	Athletic Trainer	AT2026	TX

General Provider Information

NPI Number	:	1093912313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN RUSSELL LOWE MPT, MAT, LAT, ATC

Provider Business Mailing Address
First Line	:	4206 49TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79413-3722
Country	:	US
Telephone Number	:	806-241-5328
Fax Number	:

Provider Business Practice Location Address
First Line	:	4642 N LOOP 289 STE 205
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-2424
Country	:	US
Telephone Number	:	806-775-9275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	09/11/2025

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