Individual
MS. KELSEY LAUREN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
13212 N LAMAR BLVD, AUSTIN, TX 78753-1010
(512) 594-0854
Mailing address
2208 BAUGH RD, AUSTIN, TX 78754-4115
(303) 489-8465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000022606
ATHLETIC TRAINER CERTIFIED
CO
Enumeration date
05/05/2021
Last updated
05/05/2021
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