IndividualActive
Nicole Tira, MED, LAT, ATC
NPI 1235905266 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Fayetteville, AR
Provider details
- NPI number
- 1235905266
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MED, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT778 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10 S Razorback Rd
Fayetteville, AR 72701
Phone: (479) 249-7823
Approximate (ZIP-level) locationGet directions
Mailing address
10 S Razorback Rd
Fayetteville, AR 72701
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.