MR. TIMOTHY KELLERMAN LMT NPI 1780753384

NPI Information

  • NPI: 1780753384
  • Provider Name: MR. TIMOTHY KELLERMAN, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 22 COMMONWEALTH AVE STE 2
    BOX 10
    ERLANGER, KY
    ZIP 41018
  • Phone: (859) 240-3407

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NPI Details

MR. Timothy Kellerman, LMT is a massage therapist in Erlanger, KY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Timothy Kellerman, LMT NPI is 1780753384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 COMMONWEALTH AVE STE 2
BOX 10
ERLANGER, KY
ZIP 41018-799
Phone: (859) 240-3407

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistKY-0149KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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