Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY DAVID KELLY
Active Sole ProprietorTIMOTHY DAVID KELLY is a Physical Therapy Assistant healthcare provider located in SHALLOWATER, Texas. NPI 1124382684 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHALLOWATER, TX
Registration Details
- NPI Number
- 1124382684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2012 (14.133233322856 yrs)
- Last Updated
- Mar 4, 2024
- License
-
1168068 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1404 11TH PLSHALLOWATER, TX, 793635139Browse TX providers · Browse ZIP 79363
- Phone
- 8062817550
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.