MEDICARE: AMY FILLEY GUINTHER L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC 6221	CA
2	171100000X	Acupuncturist	651-55	WI

General Provider Information

NPI Number	:	1639299589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY FILLEY GUINTHER L.AC.

Provider Business Mailing Address
First Line	:	6402 ODANA RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1123
Country	:	US
Telephone Number	:	608-556-9313
Fax Number	:

Provider Business Practice Location Address
First Line	:	6402 ODANA RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1123
Country	:	US
Telephone Number	:	608-556-9313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	11/07/2013

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