Louisiana Physical Therapy Board

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

Verification of Licensure

Tracie Lashelle Jackson

Physical Therapist

CLINIC

Therapeutic By Design
7520 Perkins Rd
STE 320
Baton Rouge, LA 70808
4046308178

LICENSE

Type: PT
Status: Expired
License #: 08369R
Issue Date: 06/28/2012
Expiration Date: 04/30/2015

BOARD ACTION

None

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.