Provider Demographics
NPI:1871271692
Name:KAMIENSKI, ELAINA GRACE (DC)
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:GRACE
Last Name:KAMIENSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 STOCKYARD ST APT 468
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1154
Mailing Address - Country:US
Mailing Address - Phone:636-614-6493
Mailing Address - Fax:
Practice Address - Street 1:324 LONG HOLLOW PIKE STE 205
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1853
Practice Address - Country:US
Practice Address - Phone:636-614-6493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor