Individual
SARAH THIEBAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, ART
Contact information
Practice address
808 DONAHUE ST, SANTA ROSA, CA 95401-5434
(707) 322-6515
Mailing address
808 DONAHUE ST, SANTA ROSA, CA 95401-5434
(707) 322-6515
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
Primary
84190
CA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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