Provider Demographics
NPI:1508422940
Name:JAMES, SIAN S (DACM)
Entity Type:Individual
Prefix:DR
First Name:SIAN
Middle Name:S
Last Name:JAMES
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HIGH RIDGE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-1202
Mailing Address - Country:US
Mailing Address - Phone:203-987-6585
Mailing Address - Fax:
Practice Address - Street 1:1200 HIGH RIDGE RD STE 208
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1202
Practice Address - Country:US
Practice Address - Phone:203-987-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006216171100000X
CT006702225700000X
NY028548225700000X
CT000726171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist