Search › Michigan › 225200000X
Jacob Pelak, PTA
NPI 1285426023 · on the registry since 2025
Practice
- Address
- 2510 Lake Michigan Dr Nw
Grand Rapids, MI 49504 - Phone
- (616) 259-0408
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan