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

Jerry S Clark, DC

Individual provider Chiropractor · NPI 1114082872

Jerry S Clark, DC is a Chiropractic in Provo, Utah. Graduated from Western States College of Chiropractic in 1980, 46 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
46
Trained at
Western States College of Chiropractic
Licensed in
UT
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3325 N University Ave Ste 125
Provo, UT 84604-6615
Phone: (801) 374-2774
Fax: (801) 374-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 166844-1202 (UT)

Record details

NPI number1114082872
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 23, 2006
Last updated in NPPESNovember 1, 2016
Mailing address3325 N University Ave Ste 125, Provo, UT 84604-6615

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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