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

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

Practice location Address checks out

79568 Sumner Rd
Broken Bow, NE 68822
Phone: (308) 870-4953
Show map & directions

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
Mailing address79568 Sumner Rd., Broken Bow, NE 68822

Other providers in Broken Bow