Jordan Stithem, ATC
NPI #1720660137 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1720660137
- Entity Type
- Individual
- Name
- Jordan Stithem, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 25, 2021
- Last Updated
- Apr 25, 2021
Practice Location
- Address
- 1618 N TAYLOR AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-2632
- Phone
- (308) 390-9992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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