Louisiana Physical Therapy Board
214 Jefferson St., Suite 102 | Lafayette, Louisiana 70501
Verification of Licensure
Timothy Daniel Ethridge
Physical Therapist AssistantCLINIC
Willis Knighton health system2600 Greenwood Rd Shreveport, LA
Shreveport, LA 71103
3182123000
LICENSE
Type: PTAStatus: Active
License #: A9137R
Issue Date: 06/25/2015
Expiration Date: 04/30/2027