Individual provider · Type 1 NPI

Jesse Kusmulyana, PTA

Physical Therapy Assistant · Peridot, AZ

NPI number 1467010082 Active

Practice location

103 Medicine Way Rd
Peridot, AZ 85542-5000

Call (928) 475-1360 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-013887 (AZ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

41 other providers at this address

About NPI 1467010082

Jesse Kusmulyana, PTA's National Provider Identifier is 1467010082, issued on May 29, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Peridot, AZ. The record was last updated on May 29, 2019.