Provider Demographics
NPI:1609290048
Name:RYKSE CHIROPRACTIC AND WELLNESS PLLC
Entity Type:Organization
Organization Name:RYKSE CHIROPRACTIC AND WELLNESS PLLC
Other - Org Name:ALIGN LIFE OF NORTON SHORES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:RYKSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-652-3101
Mailing Address - Street 1:935 W NORTON AVE
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4195
Mailing Address - Country:US
Mailing Address - Phone:734-652-3101
Mailing Address - Fax:
Practice Address - Street 1:935 W NORTON AVE
Practice Address - Street 2:SUITE 1-D
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-4195
Practice Address - Country:US
Practice Address - Phone:734-652-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty