Provider Demographics
NPI:1528391802
Name:MOWDY, SARAH (L AC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MOWDY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3480
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86340-3480
Mailing Address - Country:US
Mailing Address - Phone:928-300-2405
Mailing Address - Fax:
Practice Address - Street 1:1785 AZ-89A #1B
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336
Practice Address - Country:US
Practice Address - Phone:928-300-2405
Practice Address - Fax:928-300-2405
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1049171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist