Louisiana Physical Therapy Board

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

Verification of Licensure

Michael James Broussard

Physical Therapist Assistant

CLINIC

Shreveport Physical Therapy & Sports Medicine
8835 Line Avenue
100
Shreveport, LA 71106
3186815437

LICENSE

Type: PTA
Status: Active
License #: A6866
Issue Date: 09/22/2005
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.