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

Jacob Earl Clark, MS, AT, NR-EMT

Individual provider Athletic Trainer · NPI 1093206773

Jacob Earl Clark, MS, AT, NR-EMT is an Athletic Trainer in Blissfield, Michigan. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

116 S Lane St
Blissfield, MI 49228-1206
Phone: (517) 486-5278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • D232 County Road 18, Holgate, OH 43527-9796 — (419) 906-5086

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1093206773
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , AT , NR-EMT
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESOctober 4, 2019

Other providers in Blissfield