Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tanner Johnson

Individual provider Athletic Trainer · NPI 1063868032

Tanner Johnson is an Athletic Trainer in Broken Bow, Nebraska. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

79568 Sumner Rd
Broken Bow, NE 68822 Not confirmed with CMS for 10 years — call before visiting
Phone: (308) 870-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1063868032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESMay 10, 2016

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