IndividualActive
Eljin Gorman, MS LAT ATC
NPI 1619638186 · Athletic Trainer · Clovis, NM
Provider details
- NPI number
- 1619638186
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS LAT ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT712 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2004 Stone Pl
Clovis, NM 88101-8667
Phone: (505) 903-1661
Approximate (ZIP-level) locationGet directions
Mailing address
2004 Stone Pl
Clovis, NM 88101-8667
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.