Provider Demographics
NPI:1275775132
Name:UTHLAUT, ALMA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:MARIA
Last Name:UTHLAUT
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 1:216 S MARION ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2568
Mailing Address - Country:US
Mailing Address - Phone:256-233-0302
Mailing Address - Fax:256-233-0326
Practice Address - Street 1:216 S MARION ST
Practice Address - Street 2:SUITE B
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2568
Practice Address - Country:US
Practice Address - Phone:256-233-0302
Practice Address - Fax:256-233-0326
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor