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

Jordan S Pacheco

Individual provider Athletic Trainer · NPI 1417838780

Jordan S Pacheco is an Athletic Trainer in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2025.

Licensed in
CO
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2200 Bonforte Blvd
Pueblo, CO 81001-4901
Phone: (719) 549-2711
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CO)
Athletic Trainer Taxonomy 2255A2300X (CO)

Record details

NPI number1417838780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address4796 Goldfinch Ct, Pueblo, CO 81008-1909

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