Individual provider · Type 1 NPI

Charles Scott Kooistra, DC

Chiropractor · Wyoming, MI

NPI number 1417943036 Active

Practice location

2855 Byron Center Ave SW
Wyoming, MI 49519-2415

Call (616) 532-2518 Map

Fax (616) 532-2696

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCK002664 (MI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1417943036

Charles Scott Kooistra, DC's National Provider Identifier is 1417943036, issued on Sep 20, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wyoming, MI. The record was last updated on Feb 3, 2017.