Individual provider · Type 1 NPI

Timothy Jacob Connelly, RBT

Student in an Organized Health Care Education/Training Program · Marysville, CA

NPI number 1720570385 Active

Practice location

1128 Yuba St
Marysville, CA 95901-4831

Call (530) 640-7407 Map

Mailing address

1725 Presidio Way
Plumas Lake, CA 95961-9071

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720570385

Timothy Jacob Connelly, RBT's National Provider Identifier is 1720570385, issued on May 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marysville, CA. The record was last updated on Jul 8, 2025.