Karen A. Hayes, LAc practices acupuncture within the multi-disciplinary clinic at 3239 Adams Avenue in San Diego's Normal Heights neighborhood, a shared-care facility that houses chiropractors, naturopaths, and massage therapists under one roof. The Adams Avenue address operates as Community Wellness on Adams — formerly Adams Avenue Integrative Health — and has held National Provider Identifier registration 1851697668 since January 2011. Hayes's acupuncture sessions complement the dental and orthodontic care provided up the block at Adams Avenue Family Dental, particularly for patients managing TMJ-related jaw tension and post-procedure inflammation through meridian-based needle therapy. The 92116 clinic's co-located model means a patient can receive chiropractic adjustment, acupuncture, and therapeutic massage in a single visit cycle without referral delays between separate offices. Adams Avenue runs east-west as the primary commercial spine of Normal Heights, and the 3239 block sits within walking distance of the Kensington-Normal Heights Branch Library and the restaurants along the corridor. Recovery protocols that start on Hayes's treatment table progress to strength and conditioning work at The Yard Gym Normal Heights, where resistance training reinforces the neuromuscular gains achieved through acupuncture-driven nerve stimulation. The integrative model at 3239 Adams Avenue routes each patient through a shared intake system that coordinates acupuncture point prescriptions with chiropractic adjustment plans and soft-tissue bodywork sequences, reducing the fragmentation that typically separates these disciplines across multiple locations.