NPI 1235905266

Nicole Tira, MEDLATATC

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Fayetteville, AR

Practice location

Address: 10 S Razorback Rd, Fayetteville, AR 72701
Phone: (479) 249-7823

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence AT778 (AR)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Arkansas →

Registry record

NPI: 1235905266
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2023
Record last updated: 30 Nov 2023

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.