Louisiana Physical Therapy Board

214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501

Verification of Licensure

Dwight Arthur Tietjen, Jr.

Physical Therapist

CLINIC

Tietjen Rehab Services, LLC
4801 Crescent Drive
Shreveport, LA 71106
3184640553

LICENSE

Type: PT
Status: Expired
License #: 00118
Issue Date: 01/01/1988
Expiration Date: 04/30/2022

BOARD ACTION

Yes

This serves as primary source verification from the Louisiana Physical Therapy Board. A "Yes" under Board Action means that there is information available to the public and can be accessed via the Board's website at www.laptboard.org.