Individual
JORDAN RICKARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 JORDANVILLE RD, AYNOR, SC 29511-3601
(843) 488-7109
Mailing address
608 CASTLE CT, MYRTLE BEACH, SC 29579-9802
(540) 834-6419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/18/2023
Last updated
05/27/2025
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