Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE WAYNE RICHARDSON, MSPT
ActiveJESSE WAYNE RICHARDSON, MSPT is a Specialist healthcare provider located in RANDOLPH A F B, Texas. NPI 1801889860 is currently active in the NPPES registry. Verify at CMS.
Specialist · RANDOLPH A F B, TX
Registration Details
- NPI Number
- 1801889860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2005 (20.954139435571 yrs)
- Last Updated
- Jan 13, 2014
- License
-
1091031 (TX)
Practice Information
- Address
-
221 3RD ST WBLDG 1040RANDOLPH A F B, TX, 781504800Browse TX providers · Browse ZIP 78150
- Phone
- 2106523137
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.