Search › Texas › Athletic Trainer
Jacob Clark, MS, LAT, ATC
NPI 1629695663 · on the registry since 2020 · sole proprietor
Practice
- Address
- 101 College Hts
Cisco, TX 76437 - Phone
- (254) 442-5198
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas