Healthcare Provider Details

I. General information

NPI: 1639299589
Provider Name (Legal Business Name): AMY FILLEY GUINTHER L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2007
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6402 ODANA RD
MADISON WI
53719-1123
US

IV. Provider business mailing address

6402 ODANA RD
MADISON WI
53719-1123
US

V. Phone/Fax

Practice location:
  • Phone: 608-556-9313
  • Fax:
Mailing address:
  • Phone: 608-556-9313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 6221
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number651-55
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: