IndividualActive
Richard Mckibben, PT, DSC, ECS
NPI 1407949134 · Clinical Electrophysiology Physical Therapist · Kingsland, GA
Provider details
- NPI number
- 1407949134
- Entity type
- Individual
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DSC, ECS
- Sex
- Male
- Sole proprietor
- No
- License
- PT032925 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 a Lindsey Lane
Kingsland, GA 31548-0000
Phone: (912) 729-1333
Fax: (912) 729-5259
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 949
Rome, GA 30162-0949
Additional practice locations (7)
- 1000 Hillcrest PkwyDublin, GA 31021-4208Phone: (470) 809-1581Fax: (470) 809-1582
- 4216 Washington Rd Ste 2Evans, GA 30809-4717Phone: (470) 809-1581Fax: (470) 809-1582
- 371 Noah Dr Ste 102Jasper, GA 30143-8708Phone: (470) 809-1581Fax: (470) 809-1582
- 840 Pine St Ste 880Macon, GA 31201-7525Phone: (470) 809-1581Fax: (470) 809-1582
- 6330 Primrose Hill Ct Ste 201Norcross, GA 30092-4544Phone: (470) 809-1581Fax: (470) 809-1582
- 140 Johnny Mercer Blvd Ste 10aSavannah, GA 31410-2169Phone: (470) 809-1581Fax: (470) 809-1582
- 165 N Park Trl Ste 100Stockbridge, GA 30281-6509Phone: (470) 809-1581Fax: (470) 809-1582
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.