Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracy Lynn Nichols, PT

Individual provider Physical Therapist · NPI 1003215351

Tracy Lynn Nichols, PT is a Physical Therapist in Van Buren, Arkansas. Licensed in Arkansas and Oklahoma. Registered with an NPI since 2014.

Licensed in
AR, OK
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

117 Northridge Dr Ste C
Van Buren, AR 72956-6983
Phone: (479) 431-7460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 1369 (AR)
Physical Therapist Taxonomy 225100000X · Licence 2566 (OK)

Record details

NPI number1003215351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESMarch 26, 2022
Certification dateMarch 26, 2022

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