Louisiana Physical Therapy Board

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

Verification of Licensure

Justin Gammye Moore

Physical Therapist Assistant

CLINIC

Southern Hills
9105 Baird Rd
Shreveport, LA 71118
3186565646

LICENSE

Type: PTA
Status: Expired
License #: A10009R
Issue Date: 06/28/2018
Expiration Date: 04/30/2021

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.