Provider Demographics
NPI:1336996453
Name:ADAMS, SARA THIELBAR (DACM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:THIELBAR
Last Name:ADAMS
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 1:132 NAYATT RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3335
Mailing Address - Country:US
Mailing Address - Phone:401-573-7063
Mailing Address - Fax:
Practice Address - Street 1:136A W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-4937
Practice Address - Country:US
Practice Address - Phone:401-573-7063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDACM00011171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist