Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD J MCKIBBEN, PT, DWC, ECS
ActiveRICHARD J MCKIBBEN, PT, DWC, ECS is a Physical Therapy Assistant healthcare provider located in KINGSLAND, Georgia. NPI 1407949134 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KINGSLAND, GA
Registration Details
- NPI Number
- 1407949134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.831863534984 yrs)
- Last Updated
- Nov 10, 2010
- Licenses
-
PT004832 (GA)PT004832 (GA)
Practice Information
- Address
-
100 A LINDSEY LANEKINGSLAND, GA, 315480000Browse GA providers · Browse ZIP 31548
- Phone
- 9127291333
- Fax
- 9127295259
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- 2251E1300X
Other Physical Therapy Assistant Providers in KINGSLAND, GA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM J DEAREN | PT | 1750388922 |
| MRS. MARISA G HARVEY | PT | 1073572277 |
| MELANIE SUE BRACEWELL | MSPT | 1609814953 |
| SHELBY B SWEAT | PT | 1942245741 |
| MRS. LISA LEANNE GENTZLER | M.P.T. | 1093898991 |
| MARSHA SHACKELFORD | PT | 1417197849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.