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

Mr. Jason Tanner, CPO

Individual provider Prosthetist · NPI 1063119576

Mr. Jason Tanner, CPO is a Prosthetist in Wichita, Kansas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

12911 E 21st St N
Wichita, KS 67230-7408
Phone: (316) 630-8420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X
Prosthetist Taxonomy 224P00000X

Record details

NPI number1063119576
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Other providers in Wichita