Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Jaclyn Marie Widder
Physical TherapistCLINIC
Willis Knighton7925 Youree Dr
Suite 140
Shreveport, LA 71105
3182123720
LICENSE
Type: PTStatus: Active
License #: 11380
Issue Date: 09/23/2022
Expiration Date: 04/30/2027