Louisiana Physical Therapy Board

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

Verification of Licensure

Jared Randal Roge

Physical Therapist

CLINIC

Self
609 Woodmere Dr.
Shreveport, LA 71115
3184713306

LICENSE

Type: PT
Status: Active
License #: 09532R
Issue Date: 10/05/2016
Expiration Date: 04/30/2027

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.