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NICOLE TIRA, MED, LAT, ATC

Active

NICOLE TIRA, MED, LAT, ATC is a Neuromusculoskeletal Medicine & OMM healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1235905266 is currently active in the NPPES registry. Verify at CMS.

Neuromusculoskeletal Medicine & OMM · FAYETTEVILLE, AR

Registration Details

NPI Number
1235905266
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2023 (2.7392565882255 yrs)
Last Updated
Nov 30, 2023
License
AT778 (AR)

Practice Information

Address
10 S RAZORBACK RD
FAYETTEVILLE, AR, 72701
Browse AR providers · Browse ZIP 72701
Phone
4792497823
Primary Specialty
Neuromusculoskeletal Medicine & OMM
204C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.