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.

Health Care Provider Taxonomy Code for Neuromusculoskeletal Medicine, Sports Medicine

NICOLE TIRA is a physician located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1235905266 to NICOLE TIRA on November 30, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE TIRA below.

NPI Profile for
NICOLE TIRA

NPI Number
1235905266
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE TIRA
Credentials
MED, LAT, ATC
Primary location
10 S RAZORBACK RD
FAYETTEVILLE, AR 72701
Phone: (479) 249-7823 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)		 AR AT778

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.