Whalio Doctors

NPI 1114985322

Jim R Kimbal, ATCLATLMTCSCS

Practitioner Athletic Trainer Fairbanks, AK

Practice location

Address
1650 Cowles Street Fmh Rehab Department, Fairbanks, AK 99701
Phone
(907) 458-5670
Mailing address
PO Box 74293, Fairbanks, AK 99707-4293

Registered specialties (4)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 124560 (AK)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 10650493-4810 (UT)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227005348 (IL)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 117476 (AK)

Registry record

NPI
1114985322
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2006
Record last updated
28 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.