NPI 1003215351
Tracy Lynn Nichols, PT
Practice location
- Address
- 117 Northridge Dr STE C, Van Buren, AR 72956-6983
- Phone
- (479) 431-7460
- Mailing address
- 1515 Trenton Cir, Van Buren, AR 72956-2838
Registered specialties (2)
Physical Therapist
Primary
Physical Therapist
Registry record
- NPI
- 1003215351
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2014
- Record last updated
- 26 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.