Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Stucker, MA, LAT, ATC

Individual provider Athletic Trainer · NPI 1407213754

Jaclyn Stucker, MA, LAT, ATC is an Athletic Trainer in Geneva, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

300 Pulteney St Bristol Gymnasium
Geneva, NY 14456-3304
Phone: (315) 481-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 003053-1 (NY)

Record details

NPI number1407213754
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016

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