Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eljin Jon Gorman, MSLATATC

Individual provider Athletic Trainer · NPI 1619638186

Eljin Jon Gorman, MSLATATC is an Athletic Trainer in Clovis, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

2004 Stone Pl
Clovis, NM 88101-8667
Phone: (505) 903-1661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT712 (NM)

Record details

NPI number1619638186
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLATATC
Sole proprietorYes
NPI enumeratedJanuary 6, 2022
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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