Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Alan Clark, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1629695663

Jacob Alan Clark, MS, LAT, ATC is an Athletic Trainer in Cisco, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science 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

101 College Hts
Cisco, TX 76437-1900
Phone: (254) 442-5198
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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 AT8111 (TX)

Record details

NPI number1629695663
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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