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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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