Jesse Kusmulyana PTA

  • NPI 1467010082
According to our database, the NPI number for Jesse Kusmulyana PTA is 1467010082 and activated since 4 years ago. Jesse Kusmulyana PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 103 Medicine Way Rd, Peridot, AZ 85542. You can also contact Jesse Kusmulyana PTA via telephone number is (928) 475-1360. Provider NPI information was last updated on 05/29/2019.

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Overview of Jesse Kusmulyana PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/29/2019
  • Last updated: 05/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: PTA-013887
  • License State: AZ

Provider Mailing Address

  • Address: 103 Medicine Way Rd
    Peridot, AZ 85542
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 103 Medicine Way Rd
    Peridot, AZ 85542
  • Phone: 928-475-1360
  • Fax:

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: PTA-013887
  • License State: AZ
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jesse Kusmulyana PTA?
  • A: The npi number for Jesse Kusmulyana PTA is 1467010082.
  • Q: What are Jesse Kusmulyana PTA's specialties?
  • A: Jesse Kusmulyana PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Jesse Kusmulyana PTA?
  • A: The medical license number for Jesse Kusmulyana PTA is PTA-013887 and issued in AZ in USA.
  • Q: Where is Jesse Kusmulyana PTA practice location?
  • A: Jesse Kusmulyana PTA is practicing at 103 Medicine Way Rd, Peridot, AZ 85542.
  • Q: How to contact Jesse Kusmulyana PTA?
  • A: You can contact Jesse Kusmulyana PTA via 928-475-1360.