MEDICARE: MCCOMBS AND ASSOCIATES PHYSICAL THERAPY, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1161388	OTHER	TX	LICENSE
2	660450000	OTHER	TX	FACILITY REGISTRATION NUMBER

General Provider Information

NPI Number	:	1326166042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCOMBS AND ASSOCIATES PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	9107 MILWAUKEE AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424
Country	:	US
Telephone Number	:	806-687-4311
Fax Number	:	806-687-4313

Provider Business Practice Location Address
First Line	:	9107 MILWAUKEE AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2827
Country	:	US
Telephone Number	:	806-687-4311
Fax Number	:	806-687-4313

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. SPENCER D MCCOMBS
Credential	:	PT
Telephone Number	:	806-317-9738

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	03/02/2023

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