Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Michael David Blackledge
Physical TherapistADDRESS
432 34th St.New Orleans, LA 70124
5048429676
LICENSE
Type: PTStatus: Active
License #: 11070R
Issue Date: 09/21/2021
Expiration Date: 04/30/2027