Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy David Kelly

Individual provider Physical Therapist · NPI 1124382684

Timothy David Kelly is a Physical Therapist in Shallowater, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2012
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Practice location Address checks out

1404 11th Pl
Shallowater, TX 79363-5139
Phone: (806) 281-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1168068 (TX)

Record details

NPI number1124382684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2012
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024