TIMOTHY MICHAEL KELLY

SAN ANTONIO, TX
NPI1255081071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4991)
Enumeration Date2022-03-25
Last Update Date2022-05-17
Business Address
Mr. TIMOTHY MICHAEL KELLY ATC
1170 EAGLE DR BLDG 150
SAN ANTONIO, TX 78236-5705
Phone number: 210-671-9177
Mailing Address
Mr. TIMOTHY MICHAEL KELLY ATC
1170 EAGLE DR BLDG 150
SAN ANTONIO, TX 78236-5705
Phone number: 210-671-9177