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

Mr. Timothy Michael Kelly, ATC

Individual provider Athletic Trainer · NPI 1255081071

Mr. Timothy Michael Kelly, ATC is an Athletic Trainer in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1170 Eagle Dr Bldg 150
San Antonio, TX 78236-5705
Phone: (210) 671-9177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT4991 (TX)

Record details

NPI number1255081071
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 25, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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