Jayne Elizabeth Clark, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Holladay, UT
NPI 1295735728 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1295735728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 165700-1205 (UT)
- Practice address
- 2180 E 4500 S
Suite #185
Holladay, UT 84117-4434 - Phone
- (801) 272-6972
- Fax
- (801) 272-6953
- NPI assigned
- Jul 27, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165700-1205 | UT | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 165700-1205 | UT | Yes |
Addresses
Primary practice location
2180 E 4500 S
Suite #185
Holladay, UT 84117-4434
Mailing address
2180 E 4500 S
Suite #185
Holladay, UT 84117-4434
Phone (801) 272-6972
Other providers in Holladay, UT
- Karl Chen
- David L Christensen
- Katie Lynn Christensen
- Judy Huynh Chung
- David Matthew Clark
- Jennifer Stewart Clark
- CNM
- Ronald T Cohn
- Rebecca L Conde
- Nichole Conrad
All providers in Holladay, UT · Physical Medicine & Rehabilitation Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.