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JACOB KIDWELL
NPI 1184412546
Specialist/Technologist - Athletic Trainer in Saint Louis, MO

Active since April 28, 2025
5267 BRASS LANTERN PL, SAINT LOUIS, MO 63128(314) 347-9769 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Kidwell NPPES

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

JACOB KIDWELL (NPI 1184412546) is an individual athletic trainer provider in Saint Louis, Missouri and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1184412546
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB KIDWELL
Location Address5267 BRASS LANTERN PLSaint Louis, MO 63128-3501
Mailing Address5267 Brass Lantern PlSaint Louis, MO 63128-3501 · (314) 347-9769
Phone(314) 347-9769
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1184412546 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
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.
5267 BRASS LANTERN PL, Saint Louis, MO 63128
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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 Jacob Kidwell's NPI number?

The NPI number for Jacob Kidwell is 1184412546. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Jacob Kidwell located?

Jacob Kidwell practices at 5267 Brass Lantern Pl, Saint Louis, MO 63128. The listed phone number is (314) 347-9769.

What is Jacob Kidwell'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 Jacob Kidwell was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.