Provider Demographics
NPI:1902116098
Name:RITI, JANE HSUEH-CHENG YU (LAC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:HSUEH-CHENG YU
Last Name:RITI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:7209 BONIFACE LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7782
Mailing Address - Country:US
Mailing Address - Phone:512-537-9881
Mailing Address - Fax:
Practice Address - Street 1:13860 N US HIGHWAY 183
Practice Address - Street 2:SUITE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1203
Practice Address - Country:US
Practice Address - Phone:512-537-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist