Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kjt, LLC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1114800562

Kjt, LLC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Fairbanks, Alaska. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1314 Shuros Dr
Fairbanks, AK 99709-6740
Phone: (307) 267-6150
Fax: (833) 986-3605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X
Clinic/Center Taxonomy 261Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Pain Clinic/Center Taxonomy 261QP3300X

Record details

NPI number1114800562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kati Tuma — Owner · (307) 267-6150
Other names Black Mountain Wellness
NPI enumeratedJuly 30, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address560 Granite Peak Dr Apt 102, Casper, WY 82609-4522