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

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

Practice location Address checks out

1404 11th Pl
Shallowater, TX 79363-5139
Phone: (806) 281-7550
Show map & directions

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
Mailing address1404 11th Pl, Shallowater, TX 79363-5139