# PHYSICAL THERAPY PROS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609207885
- **Authorized official:** RICHARD J MCKIBBEN (OWNER)
- **Authorized official phone:** (706) 325-6971

## Contact information

- **Practice address:** 140 JOHNNY MERCER BLVD STE 10A, SAVANNAH, GA 31410-2169
- **Practice address phone:** (404) 590-5366
- **Practice address fax:** (470) 809-1582
- **Mailing address:** PO BOX 1157, JACKSON, GA 30233-0024
- **Mailing address phone:** (706) 325-6971
- **Mailing address fax:** (470) 809-1582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | PT008390 | GA | Yes |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | PT008390 | GA | — |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 04/06/2026