Provider Demographics
NPI:1245319037
Name:UHLMANSIEK, RAYMOND RUSSELL (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:RUSSELL
Last Name:UHLMANSIEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:6068 TAYLOR DR
Mailing Address - Street 2:APT. 156
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-7981
Mailing Address - Country:US
Mailing Address - Phone:502-435-4955
Mailing Address - Fax:859-525-0169
Practice Address - Street 1:5915 MERCHANTS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1198
Practice Address - Country:US
Practice Address - Phone:859-525-1695
Practice Address - Fax:859-525-0169
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4988111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation