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

Jim R Kimbal, ATC, LAT, LMT, CSCS

Individual provider Athletic Trainer · NPI 1114985322

Jim R Kimbal, ATC, LAT, LMT, CSCS is an Athletic Trainer in Fairbanks, Alaska. Practices as a sole proprietor. Licensed in Alaska, Illinois and Utah.

Licensed in
AK, IL, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1650 Cowles Street Fmh Rehab Dept
Fairbanks, AK 99701
Phone: (907) 458-5670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 124560 (AK)
Athletic Trainer Taxonomy 2255A2300X · Licence 10650493-4810 (UT)
Massage Therapist Taxonomy 225700000X · Licence 227005348 (IL)
Massage Therapist Taxonomy 225700000X · Licence 117476 (AK)

Record details

NPI number1114985322
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , LMT , CSCS
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 24, 2020

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