Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Micah Lionel Jackson
Physical Therapist AssistantCLINIC
Crescent Orthopedic Physical Therapy3600 Houma BLVD
Suite A
Metairie, LA 70006
5044759499
LICENSE
Type: PTAStatus: Active
License #: A11639
Issue Date: 10/13/2023
Expiration Date: 04/30/2027