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JACOB EARL CLARK MS, AT, NR-EMT
NPI 1093206773
Specialist/Technologist - Athletic Trainer in Blissfield, MI

Active since May 29, 2018
116 S LANE ST, BLISSFIELD, MI 49228(517) 486-5278 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Earl Clark Ms, At, Nr-emt NPPES

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

JACOB EARL CLARK MS, AT, NR-EMT (NPI 1093206773) is an individual athletic trainer provider in Blissfield, Michigan and active in the NPI registry since May 2018. He maintains a secondary practice location in Holgate.

NPPES Registry Identity

NPI1093206773
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB EARL CLARKCredential: MS, AT, NR-EMT
Location Address116 S LANE STBlissfield, MI 49228-1206
Mailing Address3503 Willow Brook LnToledo, OH 43611-3018 · (419) 906-5086
Phone(517) 486-5278
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateOctober 4, 2019
✔ NPI 1093206773 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.
116 S LANE ST, Blissfield, MI 49228
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Secondary Practice Location 1

Location 1D232 County Road 18Holgate, OH 43527-9796 · Phone (419) 906-5086

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY SPOTTS
Specialist/Technologist (Athletic Trainer)
116 S LANE ST
BLISSFIELD, MI 49228
Lenawee County (517) 486-5278
MRS. EMILY THERESA LOUISE QUINTON PT, DPT
Physical Therapist
116 S LANE ST
BLISSFIELD, MI 49228
Lenawee County (517) 486-5278

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 Clark's NPI number?

The NPI number for Jacob Clark is 1093206773. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Jacob Clark located?

Jacob Clark practices at 116 S Lane St, Blissfield, MI 49228. The listed phone number is (517) 486-5278.

What is Jacob Clark'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 Clark was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.