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

Jordan Stithem, ATC

Individual provider Athletic Trainer · NPI 1720660137

Jordan Stithem, ATC is an Athletic Trainer in Grand Island, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1618 N Taylor Ave
Grand Island, NE 68803-2632
Phone: (308) 390-9992
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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 567 (NE)

Record details

NPI number1720660137
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 25, 2021
Last updated in NPPESApril 25, 2021
Certification dateApril 22, 2021
Mailing address1618 N Taylor Ave, Grand Island, NE 68803-2632

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