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Provider Profile

Jesse Kusmulyana, PTA

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At a glance

About Jesse Kusmulyana

Jesse Kusmulyana, PTA is a healthcare provider located in Peridot, AZ. The provider's National Provider Identifier (NPI) is 1467010082.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

AZ licenceAs reported to the NPI registry
No. PTA-013887As reported
NPINational Provider Identifier
1467010082Issued 2019

As reported to the NPI registry ↗

Common questions

What is Jesse Kusmulyana's address?

Jesse Kusmulyana is listed at 103 Medicine Way Rd, Peridot, AZ 85542. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jesse Kusmulyana?

The number on file is (928) 475-1360. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jesse Kusmulyana's NPI number?

Jesse Kusmulyana's National Provider Identifier is 1467010082. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jesse Kusmulyana been practicing?

Jesse Kusmulyana has 7+ years experience. Registered with an NPI since 2019. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jesse Kusmulyana confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jesse Kusmulyana. If this is you, claiming it is free.

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