Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Novak, CTRS

Individual provider Recreation Therapist · NPI 1609404805

Kimberly Novak, CTRS is a Recreation Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 855-5226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 68065 (MI)

Record details

NPI number1609404805
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

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