IndividualActive
Timothy Kelly
NPI 1124382684 · Physical Therapist · Shallowater, TX
Provider details
- NPI number
- 1124382684
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1168068 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1404 11th Pl
Shallowater, TX 79363-5139
Phone: (806) 281-7550
Approximate (ZIP-level) locationGet directions
Mailing address
1404 11th Pl
Shallowater, TX 79363-5139
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.