Richard J Mckibben, PT, DWC, ECS

NPI #1407949134 in Kingsland, Georgia

Provider Information

NPI Number: 1407949134
Entity Type: Individual
Name: Richard J Mckibben, PT, DWC, ECS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DWC, ECS
Enumeration Date: Oct 2, 2006
Last Updated: Nov 10, 2010

Practice Location

Address: 100 A LINDSEY LANE
City: Kingsland
State: Georgia
ZIP Code: 31548-0000
Phone: (912) 729-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Electrophysiology, Clinical — Electrophysiology, Clinical	2251E1300X

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