Kelly, Timothy P
Kelly, Timothy P is an individual health care provider with primary practice located at 4833 Tumwater Valley Dr Se Ste 150 , Tumwater WA 98501-4583. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelly, Timothy P can be contacted via phone (360) 493-4160.Contact Information
Primary practice address
4833 Tumwater Valley Dr Se Ste 150
Tumwater WA 98501-4583
Phone: (360) 493-4160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002812 | Washington |
Profile Details
| NPI number | 1346399623 |
|---|---|
| LBN Legal business name | Kelly, Timothy P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346399623 | NPPES |
| Washington | Other | PT00002812 | LICENSE |
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