Individual provider · Type 1 NPI
Richard J. McKibben, PT, DSC, ECS
Clinical Electrophysiology Physical Therapist · Kingsland, GA
Practice location
100 A Lindsey Lane
Kingsland, GA 31548-0000
Fax (912) 729-5259
Mailing address
PO Box 949
Rome, GA 30162-0949
Other practice locations
- 4216 Washington Rd Ste 2, Evans, GA 30809-4717 · (470) 809-1581
- 140 Johnny Mercer Blvd Ste 10A, Savannah, GA 31410-2169 · (470) 809-1581
- 165 N Park Trl Ste 100, Stockbridge, GA 30281-6509 · (470) 809-1581
- 840 Pine St Ste 880, Macon, GA 31201-7525 · (470) 809-1581
- 6330 Primrose Hill Ct Ste 201, Norcross, GA 30092-4544 · (470) 809-1581
- 1000 Hillcrest Pkwy, Dublin, GA 31021-4208 · (470) 809-1581
- 371 Noah Dr Ste 102, Jasper, GA 30143-8708 · (470) 809-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | PT032925 (PA) |
| Clinical Electrophysiology Physical Therapist Primary | 2251E1300X | PT004832 (GA) |
| Physical Therapist | 225100000X | PT004832 (GA) |
Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…
3 other providers at this address
About NPI 1407949134
Richard J. McKibben, PT, DSC, ECS's National Provider Identifier is 1407949134, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in Kingsland, GA. The record was last updated on Jun 4, 2026.