NPI 1063390102

Jacey Elizabeth Novak

Practitioner Physical Therapy Assistant Grand Forks, ND

Practice location

Address: 1375 S Columbia Rd, Grand Forks, ND 58201-4015
Phone: (701) 780-5000
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201-4183

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1348A (ND)

Other Physical Therapy Assistant providers in North Dakota →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A3090 (MN)

Registry record

NPI: 1063390102
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2025
Record last updated: 26 Aug 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.