Doctor Name: | TIMOTHY P KELLY |
NPI Number: | 1093702441 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 219 Claremont Ave Tamaqua, PA - 182524431 |
Business Phone Number: | 5706681889 |
Business Fax Number: | 5706686115 |
Mailing Address: | 219 Claremont Ave, TAMAQUA |
State: | PA |
Postal Code: | 182524431 |
Phone Number: | 5706681889 |
Fax Number: | 5706686115 |
NPI Enumeration Date: | 09/30/2005 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Ergonomics |
Taxonomy Definition: |