Individual
TIM KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 COLUMBINE ST, DENVER, CO 80206-3105
(805) 748-7608
Mailing address
1048 COLUMBINE ST, DENVER, CO 80206-3105
(805) 748-7608
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0017555
CO
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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