Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Maya Elaine Hicks, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1255903167

Mrs. Maya Elaine Hicks, MS, LAT, ATC is an Athletic Trainer in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11221 Galleria Ave Ste 101
Raleigh, NC 27614-8137
Phone: (919) 645-9410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence LAT-5707 (NC)

Record details

NPI number1255903167
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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