National Provider Identifier Database

NICOLE TIRA, MED, LAT, ATC – NPI #1235905266
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.


Contact Information

NICOLE TIRA, MED, LAT, ATC
10 S RAZORBACK RD
FAYETTEVILLE, AR72701
Phone: 479-249-7823
Fax:
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for NICOLE TIRA

NPI Number 1235905266
Credentials MED, LAT, ATC
Entity Individual
Enumeration date 11/30/2023
Last updated 11/30/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • AR License #: AT778
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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