Individual
JAY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3500 5TH AVE, ROCK ISLAND, IL 61201-2026
(815) 757-5499
Mailing address
3500 5TH AVE, ROCK ISLAND, IL 61201-2026
(815) 757-5499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001698
VA
Other
Enumeration date
04/18/2014
Last updated
11/21/2025
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