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

Jared Lee Kooistra, DC

Individual provider Chiropractor · NPI 1770640211

Jared Lee Kooistra, DC is a Chiropractic in Wyoming, Michigan. Graduated from Logan College of Chiropractic in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Trained at
Logan College of Chiropractic
Licensed in
MI
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2855 Byron Center Ave SW
Wyoming, MI 49519-2415
Phone: (616) 532-2518
Fax: (616) 532-2696
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301009263 (MI)

Record details

NPI number1770640211
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2855 Byron Center Ave Sw, Wyoming, MI 49519-2415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wyoming