MEDICARE: SUSAN LOUKS P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	681	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5U531	OTHER	AR	BLUE CROSS/BLUE SHIELD
3	7970291	OTHER		AETNA
4	4859717	OTHER		CIGNA

General Provider Information

NPI Number	:	1306801402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LOUKS P.T.

Provider Business Mailing Address
First Line	:	11121 N RODNEY PARHAM RD STE 2A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-4158
Country	:	US
Telephone Number	:	501-765-3195
Fax Number	:	501-613-0886

Provider Business Practice Location Address
First Line	:	11121 N RODNEY PARHAM RD STE 2A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-4158
Country	:	US
Telephone Number	:	501-765-3195
Fax Number	:	501-613-0886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	06/04/2025

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Directions to “ SUSAN LOUKS P.T.” Practice Location

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