Jacob Earl Clark, MS, AT, NR-EMT
Athletic Trainer · Blissfield, MI
NPI number
1093206773
Practice location
116 S Lane StBlissfield, MI 49228-1206
- Phone
- (517) 486-5278
NPI record
- NPI
- 1093206773
- Entity type
- Individual (Type 1)
- Enumeration date
- May 29, 2018
- Last updated
- October 4, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
Mailing address
3503 Willow Brook LnToledo, OH 43611-3018
- Phone
- (419) 906-5086
Other practice locations (1)
- D232 County Road 18, Holgate, OH 43527-9796 · (419) 906-5086
About Jacob Clark
Jacob Earl Clark, MS, AT, NR-EMT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 116 S Lane St, Blissfield, MI 49228-1206. The NPI number 1093206773 was assigned on May 29, 2018 and the record was last updated on October 4, 2019.
Frequently asked questions
What is the NPI number of Jacob Earl Clark, MS, AT, NR-EMT?
The NPI number is 1093206773.
What is the phone number of Jacob Clark?
The phone number listed for the practice location is (517) 486-5278.
Where is Jacob Clark located?
116 S Lane St, Blissfield, MI 49228-1206.
What is the taxonomy code for Jacob Clark?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Blissfield
- Cody Spotts116 S Lane St