Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kustom Made LLC

Organization Prosthetist · NPI 1124776828

Kustom Made LLC provides Prosthetist services in Oak Park, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21841 Kenosha St
Oak Park, MI 48237-2651
Phone: (248) 890-9660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Prosthetist Taxonomy 224P00000X

Record details

NPI number1124776828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrice Coates — Ceo · (248) 890-9660
NPI enumeratedMarch 13, 2022
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026
Mailing address21841 Kenosha St, Oak Park, MI 48237-2651