Organization
SACRED SPACE INTEGRATED THERAPEUTICS
Active
Organization
SACRED SPACE INTEGRATED THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FARRELL LMT (FOUNDER)
(719) 359-7298
Entity
Organization
Contact information
Practice address
459 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(719) 359-7298
Mailing address
459 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(719) 359-7298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
111NP0017X
Pediatric Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
163WG0000X
General Practice Registered Nurse
—
—
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
173C00000X
Reflexologist
—
—
202D00000X
Integrative Medicine Physician
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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