Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eileen Jaquez, PTA

Individual provider Physical Therapy Assistant · NPI 1518741420

Eileen Jaquez, PTA is a Physical Therapy Assistant in Odessa, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2760 N Grandview Ave Ste A
Odessa, TX 79762-6953
Phone: (432) 552-7034
Fax: (432) 552-7165
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2177699 (TX)

Record details

NPI number1518741420
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateJune 27, 2023
Mailing address2760 N Grandview Ave Ste A, Odessa, TX 79762-6953

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