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JACQUELINE CLARK ATC, CSCS
NPI 1336552629
Specialist/Technologist - Athletic Trainer in Boston, MA

Active since June 04, 2014
550 HUNTINGTON AVE, BOSTON, MA 02115(617) 989-4144(617) 989-4150 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Clark Atc, Cscs NPPES

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

JACQUELINE CLARK ATC, CSCS (NPI 1336552629) is an individual athletic trainer provider in Boston, Massachusetts, licensed in Massachusetts (1867) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1336552629
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJACQUELINE CLARKCredential: ATC, CSCS
Location Address550 HUNTINGTON AVEBoston, MA 02115-5901
Mailing Address47 Paragon Rd Unit 2West Roxbury, MA 02132-5127 · (617) 759-2912
Phone(617) 989-4144
Fax(617) 989-4150
Sole ProprietorYes
Enumeration DateJune 4, 2014
✔ NPI 1336552629 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
License✔ Licensed in MA · 1867
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.
550 HUNTINGTON AVE, Boston, MA 02115
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Other Providers at the Same Location NPPES 3

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

SARA CASEY CLINE MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
550 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 989-4260
MAURA MULLIGAN
Social Worker
550 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 989-4232
AUBRA LINN
Specialist/Technologist (Athletic Trainer)
550 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (207) 949-9139

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 Jacqueline Clark's NPI number?

The NPI number for Jacqueline Clark is 1336552629. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Jacqueline Clark located?

Jacqueline Clark practices at 550 Huntington Ave, Boston, MA 02115. The listed phone number is (617) 989-4144.

What is Jacqueline 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 Jacqueline Clark was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.