Louisiana Physical Therapy Board

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

Verification of Licensure

Micah Lionel Jackson

Physical Therapist Assistant

CLINIC

Moreau Physical Therapy
9930 Lake Forest Blvd
Suite A
New Orleans, LA 70127-____
5042452483

LICENSE

Type: PTA
Status: Active
License #: A11639
Issue Date: 10/13/2023
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.