Provider Profile

Jesse Kusmulyana, PTA

Unclaimed Profile

About Jesse Kusmulyana

No biography has been added yet. Is this you? Claim this profile to add one.

Specialty

Credentials & Licensing

AZ licensePTA-013887
NPI1467010082
NPI issued05/29/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

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. Guide.md cannot book appointments or pass on messages — please call the office directly.

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.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.