NPI 1003778721
Justin Thomas Feliczak
Practice location
- Address
- 400 Jeffrey St, Cedar Springs, MI 49319-9572
- Phone
- (616) 696-0170
- Mailing address
- 3205 Soft Water Lake Dr NE APT 9-204, Grand Rapids, MI 49525-2748
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003778721
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Dec 2025
- Record last updated
- 1 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.