Jacob Clark, MS, AT, NR-EMT
NPI 1093206773 · Athletic Trainer · Blissfield, MI
Jacob Clark, MS, AT, NR-EMT is a Athletic Trainer provider in Blissfield, MI (NPI 1093206773).
Provider details
- NPI number
- 1093206773
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, AT, NR-EMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- D232 County Road 18Holgate, OH 43527-9796Phone: (419) 906-5086
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2019-10-04
Frequently asked questions
- What is Jacob Clark's NPI number?
- Jacob Clark's National Provider Identifier (NPI) is 1093206773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Clark's specialty?
- Jacob Clark is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Clark located?
- Jacob Clark's practice location on file with NPPES is 116 S Lane St, Blissfield, MI 49228-1206.
- What is Jacob Clark's phone number?
- The practice phone number listed in the NPPES registry for Jacob Clark is (517) 486-5278.
- Is Jacob Clark's NPI active?
- Yes — Jacob Clark's NPI (1093206773) is active in the NPPES registry as of the last update on 2019-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.