Tanner Johnson
NPI #1063868032 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1063868032
- Entity Type
- Individual
- Name
- Tanner Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- May 10, 2016
- Last Updated
- May 10, 2016
Practice Location
- Address
- 79568 SUMNER RD.
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822
- Phone
- (308) 870-4953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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