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NPI Code Detail

MEDICARE: MARTHA E MCKOWN LPTA

MEDICARE:   MARTHA E MCKOWN  LPTA
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
1225200000XPhysical Therapy Assistant2047603TX

General Provider Information

NPI Number : 1417810763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA E MCKOWN LPTA
Provider Business Mailing Address
First Line : 1601 TANGLEWOOD LN
Second Line :
City : ODESSA
State : TX
Zip : 79761-1825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5059
Country : US
Telephone Number : 432-640-2704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ MARTHA E MCKOWN LPTA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.