Healthcare Provider Details

I. General information

NPI: 1205747318
Provider Name (Legal Business Name): AMY L RIGHTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SHATTUCK AVE
BERKELEY CA
94704-2724
US

IV. Provider business mailing address

2550 SHATTUCK AVE
BERKELEY CA
94704-2724
US

V. Phone/Fax

Practice location:
  • Phone: 510-422-5550
  • Fax:
Mailing address:
  • Phone: 510-422-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20644
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: