SearchNebraska2255A2300X

Jordan Stithem, ATC

NPI 1720660137 · on the registry since 2021 · sole proprietor

Practice

Address
1618 N Taylor Ave
Grand Island, NE 68803
Phone
(308) 390-9992

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska