Individual
JORDAN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVE BLDG 1408, CANNON AFB, NM 88103
(575) 784-2778
Mailing address
808 LAURELWOOD DR, CLOVIS, NM 88101-3051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100065
AZ
Other
Enumeration date
07/26/2021
Last updated
10/24/2025
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