Healthcare Provider Details

I. General information

NPI: 1235429358
Provider Name (Legal Business Name): MICHAEL THOMAS RYKSE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 W NORTON AVE SUITE 1-D
NORTON SHORES MI
49441-4195
US

IV. Provider business mailing address

950 W NORTON AVE STE C1
MUSKEGON MI
49441-4169
US

V. Phone/Fax

Practice location:
  • Phone: 734-652-3101
  • Fax:
Mailing address:
  • Phone: 734-652-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009807
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: