Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Jacob Adam Kelley
Physical TherapistCLINIC
Intensive Specialty Hospital1600 Irving St
Shreveport, LA 71101
13189340380
LICENSE
Type: PTStatus: Active
License #: 09556
Issue Date: 11/03/2016
Expiration Date: 04/30/2026