Jordan Hicks, ATC, CSCS
NPI #1922771187 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1922771187
- Entity Type
- Individual
- Name
- Jordan Hicks, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, CSCS
- Enumeration Date
- Jul 26, 2021
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 27TH SPECIAL OPERATIONS MEDICAL GROUP
- Address 2
- 224 W D.L. INGRAM AVE BLDG 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103
- Phone
- (575) 784-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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