1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Specialist Technologist
  6. NPI Profile

MR. KENYATTA AMEER JENKINS ATC
NPI 1104246719
Specialist/Technologist - Athletic Trainer in Bloomington, IL

Active since April 22, 2014
808 S ELDORADO RD STE 2W, BLOOMINGTON, IL 61704(309) 661-0232 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenyatta Ameer Jenkins Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENYATTA AMEER JENKINS ATC (NPI 1104246719) is an individual athletic trainer provider in Bloomington, Illinois, licensed in Illinois (096003570) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1104246719
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KENYATTA AMEER JENKINSCredential: ATC
Location Address808 S ELDORADO RD STE 2WBloomington, IL 61704-6034
Mailing Address59 Fedor CirBloomington, IL 61705-5108 · (309) 287-1459
Phone(309) 661-0232
Sole ProprietorNo
Enumeration DateApril 22, 2014
✔ NPI 1104246719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IL · 096003570
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
808 S ELDORADO RD STE 2W, Bloomington, IL 61704
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Jenkins's NPI number?

The NPI number for Kenyatta Jenkins is 1104246719. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Kenyatta Jenkins located?

Kenyatta Jenkins practices at 808 S Eldorado Rd Ste 2W, Bloomington, IL 61704. The listed phone number is (309) 661-0232.

What is Kenyatta Jenkins's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kenyatta Jenkins was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.