Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey Clark, AT/ATC/CES

Individual provider Athletic Trainer · NPI 1063805844

Mr. Jeffrey Clark, AT/ATC/CES is an Athletic Trainer in Lancaster, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015
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Practice location Address checks out

315 Reber Ave
Lancaster, OH 43130-1761
Phone: (740) 503-8092
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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 AT 1582 (OH)

Record details

NPI number1063805844
Entity typeIndividual (Type 1)
GenderMale
Credentials AT/ATC/CES
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESMarch 18, 2015

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