about Dr. sarah Karsmarski

Hey, I’m Dr. Sarah, a board-certified acupuncturist with over 15 years clinical experience. I founded Acupuncture St. Augustine because I believe everyone deserves access to high-quality holistic care.

I earned my degree at Five Branches University in Santa Cruz, CA, completed my advanced clinical training in Hangzhou, China, and have run successful practices in California and Rhode Island before moving to St. Augustine with my family.

Outside of my practice, I’m a mom, a yoga and fitness enthusiast, a lover of the arts, and someone who finds constant inspiration in nature, community, and the human body. My patients say I’m approachable, warm, a little funny, and deeply thorough.

Treatment Is Wholistic

I built my practice on the foundation that we’re treating the whole: mind, body, and spirit. Real healing requires targeting the whole person, not just the symptoms. In a world where there’s a pill to treat every system, I’m here to help you get to the root of the cause and support your body’s capacity to heal.

How I approach healing

Every patient who walks through my door gets my full attention and a completely personalized treatment plan. I start by really listening to what’s going on, getting the full picture of your health, from your history to your symptoms to your lifestyle and goals.

For your treatment plan, I pull from my toolkit of acupuncture, Gua Sha, herbal medicine, lifestyle guidance, and more. I blend the precision of Traditional Chinese Medicine with integrative approaches to give my clients the best of both worlds.

Credentials & Experience

Title: Dr. Sarah Karsmarski, MTCM, D.Ac, AP

Credentials: Board-Certified Acupuncture Physician | Doctor of Acupuncture

  • 15+ years of clinical experience in acupuncture and Chinese Medicine

  • Master of Traditional Chinese Medicine, Five Branches University, Santa Cruz, CA

  • Licensed Acupuncture Physician, Florida; Doctor of Acupuncture, Rhode Island

  • Advanced Integrative Medicine Clinical Training, Hangzhou, China

  • Perinatal & Fertility Mentorship: Dr. Rozenn, RoseFinch Academy, PUSH Professional

  • Herbal Medicine Master Study Program with Heiner Fruehauf

  • Advanced Cosmetic Acupuncture & Microneedling Training with Michelle Gellis

  • Certified in Acupuncture Injection Therapy

  • Trained in Japanese Style, Five Elements, Yin Tuina, and nutritional therapies

  • Community clinic experience with veterans and mental health programs

Work with me

I have over 15 years experience in multiple practices, advanced training in China, and a depth of my own clinical experience. You’ll notice the difference in your very first session with me.

No two patients are alike, and neither should the treatment plans. I take the time to understand your unique health picture to build a plan that works for you.

Healing shouldn’t be a luxury. From sliding-scale community sessions to private practice options, I’m committed to making quality care available to the St. Augustine community.

What can You Expect


From the first visit, you’ll feel the difference. The intake process includes time to discuss your health history, goals, and concerns for tailored treatments.

I’m known for my light touch and use of Japanese-style needles to create a relaxing experience that delivers effective healing without being overwhelming.

Each acupuncture treatment builds on the previous one. Most patients get noticeable shifts within 3-6 sessions, with lasting results compounded over time.

Let’s Connect

I’d love to chat.
Reach out to ask any questions you may have and to book your session.