Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie K McKibben Rpt Assoc

Organization Physical Therapist · NPI 1497841621

Leslie K McKibben Rpt Assoc is a Physical Therapist in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

4640 Whipple Hollow Rd
Melbourne, FL 32934-7661
Phone: (321) 259-5592
Fax: (321) 259-5592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence FL5166 (FL)

Record details

NPI number1497841621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie McKibben — President · (321) 259-5592
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 23, 2008
Mailing address4640 Whipple Hollow Rd, Melbourne, FL 32934-7661

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