Healthcare Provider Details

I. General information

NPI: 1316172612
Provider Name (Legal Business Name): SARAH TEWHEY L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2009
Last Update Date: 05/19/2024
Certification Date: 05/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 HERRICK RD
SOUTHWEST HARBOR ME
04679-4431
US

IV. Provider business mailing address

PO BOX 1145
SOUTHWEST HARBOR ME
04679-1145
US

V. Phone/Fax

Practice location:
  • Phone: 207-266-7938
  • Fax:
Mailing address:
  • Phone: 207-266-7938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC335
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: