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JACOB ALAN CLARK MS, LAT, ATC
NPI 1629695663
Specialist/Technologist - Athletic Trainer in Cisco, TX

Active since June 25, 2020
101 COLLEGE HTS, CISCO, TX 76437(254) 442-5198 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Alan Clark Ms, Lat, Atc NPPES

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

JACOB ALAN CLARK MS, LAT, ATC (NPI 1629695663) is an individual athletic trainer provider in Cisco, Texas, licensed in Texas (AT8111) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1629695663
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB ALAN CLARKCredential: MS, LAT, ATC
Location Address101 COLLEGE HTSCisco, TX 76437-1900
Mailing Address1645 Pr 2431Clyde, TX 79510-1900 · (409) 489-2284
Phone(254) 442-5198
Sole ProprietorYes
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1629695663 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 TX · AT8111
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.
101 COLLEGE HTS, Cisco, TX 76437
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Other Identifiers 1

OtherJEA013107880TX · Bluecross Blueshield

Other Providers at the Same Location NPPES

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

MR. MICHAEL LEE GARCIA L.A.T.
Specialist/Technologist (Athletic Trainer)
101 COLLEGE HTS
CISCO, TX 76437
Eastland County (254) 442-5064

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 1629695663. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Jacob Clark located?

Jacob Clark practices at 101 College Hts, Cisco, TX 76437. The listed phone number is (254) 442-5198.

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 June 25, 2020. 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.