Healthcare Provider Details

I. General information

NPI: 1700698255
Provider Name (Legal Business Name): ROCK TOWN THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 JANWOOD DR
LITTLE ROCK AR
72227-5853
US

IV. Provider business mailing address

27 JANWOOD DR
LITTLE ROCK AR
72227-5853
US

V. Phone/Fax

Practice location:
  • Phone: 501-563-0763
  • Fax:
Mailing address:
  • Phone: 501-563-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE SWEERE
Title or Position: MEMBER
Credential: PT, DPT
Phone: 501-563-0763