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

Individual provider Chiropractor · NPI 1417943036

Charles Scott Kooistra, DC is a Chiropractor in Wyoming, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2855 Byron Center Ave SW
Wyoming, MI 49519-2415
Phone: (616) 532-2518
Fax: (616) 532-2696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CK002664 (MI)

Record details

NPI number1417943036
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedSeptember 20, 2005
Last updated in NPPESFebruary 3, 2017

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