Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB EARL CLARK, MS, AT, NR-EMT
ActiveJACOB EARL CLARK, MS, AT, NR-EMT is a Athletic Trainer healthcare provider located in BLISSFIELD, Michigan. NPI 1093206773 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLISSFIELD, MI
Registration Details
- NPI Number
- 1093206773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2018 (8.0648970241971 yrs)
- Last Updated
- Oct 4, 2019
Practice Information
- Address
-
116 S LANE STBLISSFIELD, MI, 492281206Browse MI providers · Browse ZIP 49228
- Phone
- 5174865278
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLISSFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| CODY SPOTTS | — | 1174367783 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.