Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. YUNITRISUWANTO BASUKI
Active Sole ProprietorMR. YUNITRISUWANTO BASUKI is a Massage Therapist healthcare provider located in SANTA MONICA, California. NPI 1518557016 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SANTA MONICA, CA
Registration Details
- NPI Number
- 1518557016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2021 (5.5760544617819 yrs)
- Last Updated
- Jan 19, 2021
- License
-
8254 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 MONTANA AVESANTA MONICA, CA, 904031409Browse CA providers · Browse ZIP 90403
- Phone
- 3103937007
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARILYN LOUISE ALEXANDER | B.A., MAT | 1417186040 |
| MS. MIHARU MORITA | LIC. MASSAGE THER | 1164746350 |
| HEATHER M SWEENEY | CMT | 1659856748 |
| DAEJON DAMAR CRAWFORD | — | 1760042857 |
| MARY KATHARINE DANIELS | — | 1336756121 |
| CORI ESCALANTE | CACMT | 1679158190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.