Patrick Raymond Mckibben in Cincinnati - Physical Therapist

Patrick Raymond Mckibben - NPI 1053389114

Patrick Raymond Mckibben is a Physical Therapist in Cincinnati, Ohio. Patrick Raymond Mckibben practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Patrick Raymond Mckibben is 1053389114. The last update date is 2010-03-01.

Patrick Raymond Mckibben's current location address is 4440 Glen Este Withamsville Rd, Cincinnati, Ohio. You can contact this provider via phone number 5139433630 and fax number 5137534308. The mailing address for Patrick Raymond Mckibben is 4440 Glen Este Withamsville Rd, Cincinnati, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Raymond Mckibben
Address 4440 Glen Este Withamsville Rd, Cincinnati, Ohio
Phone Number 5139433630
Fax Number 5137534308
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1053389114
Provider Enumeration Date 2006-03-14
Last Updated Date 2010-03-01

Provider Mailing Address Detail

Address 4440 Glen Este Withamsville Rd
City Cincinnati
State Ohio (OH)
Post Code 452451318
Phone Number 5139433630
Fax Number 5137534308

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT.011095
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2750545 OH --
502323 OH ANTHEM

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FAQs about Patrick Raymond Mckibben

What is the unique 10-digit identifier code issued to Patrick Raymond Mckibben by the Centers for Medicare & Medicaid Services?

The Patrick Raymond Mckibben has been assigned the NPI (National Provider Identifier) 1053389114 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Patrick Raymond Mckibben's facilities are situated?

The facilities of Patrick Raymond Mckibben are physically located at the following address: 4440 Glen Este Withamsville Rd, Cincinnati, OH, 452451318.

What is Patrick Raymond Mckibben's area of expertise and its corresponding taxonomy classification?

The Patrick Raymond Mckibben's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053389114 to Patrick Raymond Mckibben?

The Centers for Medicare & Medicaid Services originally issued the 1053389114 to Patrick Raymond Mckibben on 2006-03-14.

As of what date were the details related to Patrick Raymond Mckibben most recently updated or revised?

The information pertaining to Patrick Raymond Mckibben, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-01.

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