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

Jesse Wayne Richardson, MSPT

Individual provider Specialist · NPI 1801889860

Jesse Wayne Richardson, MSPT is a Specialist in Randolph A F B, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005

Practice location Address checks out

221 3rd St W Bldg 1040
Randolph A F B, TX 78150-4800
Phone: (210) 652-3137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1091031 (TX)

Record details

NPI number1801889860
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESJanuary 13, 2014