Provider Demographics
NPI:1750033460
Name:KAMINSKI, REID STEPHEN (DC)
Entity type:Individual
Prefix:
First Name:REID
Middle Name:STEPHEN
Last Name:KAMINSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24520 MEADOWBROOK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2883
Mailing Address - Country:US
Mailing Address - Phone:248-348-7530
Mailing Address - Fax:
Practice Address - Street 1:24520 MEADOWBROOK RD STE 200
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2883
Practice Address - Country:US
Practice Address - Phone:248-348-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2025-05-06
Deactivation Date:2025-04-02
Deactivation Code:
Reactivation Date:2025-05-06
Provider Licenses
StateLicense IDTaxonomies
MI2301404217111N00000X
MI2301401217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor