JIM R KIMBAL ATC, LAT, LMT, CSCS
NPI 1114985322
Specialist/Technologist - Athletic Trainer in Fairbanks, AK

Active since May 04, 2006
1650 COWLES STREET, FMH REHAB DEPARTMENT, FAIRBANKS, AK 99701(907) 458-5670 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JIM KIMBAL

This page provides the complete NPI Profile along with additional information for Jim Kimbal, a provider established in Fairbanks, Alaska with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114985322 assigned on May 2006. The practitioner's primary taxonomy code is 2255A2300X with license number 124560 (AK). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1114985322 Verify this NPI
Provider Name
JIM R KIMBAL ATC, LAT, LMT, CSCS
Gender
Male
Entity Type
Individual
Location Address
1650 COWLES STREET FMH REHAB DEPARTMENT FAIRBANKS, AK 99701
Location Phone
(907) 458-5670
Mailing Address
PO BOX 74293 FAIRBANKS, AK 99707
Mailing Phone
(907) 479-2526
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2006
Last Update Date
09-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
124560
License State
AK
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

10650493-4810 (UT)
2225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

227005348 (IL)
3225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

117476 (AK)

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1650 COWLES STREET
FAIRBANKS, AK 99701
Radiology (Radiation Oncology)
1650 COWLES STREET
FAIRBANKS, AK 99701
Radiology (Radiation Oncology)
1650 COWLES STREET
FAIRBANKS, AK 99701
Surgery (Vascular Surgery)
1650 COWLES STREET, MEDICAL STAFF SVCS
FAIRBANKS, AK 99701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114985322, enumerated as an "individual" on May 04, 2006.

The provider is located at 1650 COWLES STREET FMH REHAB DEPARTMENT FAIRBANKS, AK 99701 and the phone number is (907) 458-5670.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.