Individual provider · Type 1 NPI

Jared Lee Kooistra, DC

Chiropractor · Wyoming, MI

NPI number 1770640211 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 111N00000X2301009263 (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 1770640211

Jared Lee Kooistra, DC's National Provider Identifier is 1770640211, issued on Jan 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wyoming, MI. The record was last updated on Jul 8, 2007.