Jacob Alan Clark, MS, LAT, ATC
NPI #1629695663 in Cisco, Texas
Provider Information
- NPI Number
- 1629695663
- Entity Type
- Individual
- Name
- Jacob Alan Clark, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Jun 25, 2020
- Last Updated
- Jun 25, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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