Healthcare Provider Details

I. General information

NPI: 1407809080
Provider Name (Legal Business Name): SRL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11121 N RODNEY PARHAM RD STE 2A
LITTLE ROCK AR
72212-4158
US

IV. Provider business mailing address

11121 N RODNEY PARHAM RD STE 2A
LITTLE ROCK AR
72212-4158
US

V. Phone/Fax

Practice location:
  • Phone: 501-225-0111
  • Fax: 501-613-0886
Mailing address:
  • Phone: 501-225-0111
  • Fax: 501-613-0886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUSAN LOUKS
Title or Position: OWNER/PHYSICAL THERAPIST/ADMINISTRA
Credential: PT
Phone: 501-225-0111