MEDICARE: SYDNEY STORDAHL LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1306301932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY STORDAHL LAT, ATC

Provider Business Mailing Address
First Line	:	2008 COTTONWOOD ST
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-7366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 COTTONWOOD ST
Second Line	:
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-7366
Country	:	US
Telephone Number	:	701-331-9791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	12/11/2025

Similar Medicare Providers

1346389079 — MICHELLE MARIE CLARK LMSW
Practice Location Address:

7366 GREEN VALLEY DR
GRAND BLANC, MI
48439-8194

Practice Phone: 810-813-1768
Practice Fax:

1205799053 — BLESSED HANDS HOMECARE LLC
Practice Location Address:

4200 S WASHINGTON ST APT 101
GRAND FORKS, ND
58201-5571

Practice Phone: 701-410-8711
Practice Fax:

1174949895 — NATHAN MODEEN LCSW
Practice Location Address:

1407 24TH AVE S STE 100
GRAND FORKS, ND
58201-6761

Practice Phone: 701-239-3700
Practice Fax:

1154736403 — JALISSA ANN SPANIER
Practice Location Address:

1999 4TH AVE S
GRAND FORKS, ND
58201

Practice Phone: 701-317-3921
Practice Fax:

1023972320 — KAITLYN M BERG LMSW
Practice Location Address:

2300 LIBRARY CIR
GRAND FORKS, ND
58201-6328

Practice Phone: 701-757-0477
Practice Fax: 701-772-1763

1740713239 — SARA FLATEN
Practice Location Address:

600 DEMERS AVE STE 303
GRAND FORKS, ND
58201-4599

Practice Phone: 701-757-0292
Practice Fax:

Directions to “ SYDNEY STORDAHL LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.