Louisiana Physical Therapy Board

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

Verification of Licensure

Jacqueline Wenona Bullard

Physical Therapist Assistant

CLINIC

Fultz Physical Therapy
5908 North Market St.
Shreveport, LA 71107
3184894299

LICENSE

Type: PTA
Status: Active
License #: A11991R
Issue Date: 03/06/2025
Expiration Date: 04/30/2028

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.