Healthcare Provider Details

I. General information

NPI: 1841764412
Provider Name (Legal Business Name): SARA RIMES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38669 MENTOR AVE STE E
WILLOUGHBY OH
44094-7781
US

IV. Provider business mailing address

38060 TAMARAC BLVD APT 102
WILLOUGHBY OH
44094-3457
US

V. Phone/Fax

Practice location:
  • Phone: 440-488-8371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-04860
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: