SACRED SPACE INTEGRATED THERAPEUTICS NPI 1770466138

NPI Information

  • NPI: 1770466138
  • Provider Name: SACRED SPACE INTEGRATED THERAPEUTICS
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 459 WINDCHIME PL
    COLORADO SPRINGS, CO
    ZIP 80919
  • Phone: (719) 359-7298

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NPI Details

SACRED SPACE INTEGRATED THERAPEUTICS is a health service clinic center in Colorado Springs, CO. SACRED SPACE INTEGRATED THERAPEUTICS NPI is 1770466138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

459 WINDCHIME PL
COLORADO SPRINGS, CO
ZIP 80919-984
Phone: (719) 359-7298

The provider's authorized official is Amanda Farrell .
The authorized official title is Founder and has the following contact phone number (719) 359-7298.

The enumeration date for this NPI number is 7/30/2025 and was last updated on 7/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2173C00000XReflexologistNo
3202D00000XIntegrative MedicineNo
4204C00000XNeuromusculoskeletal Medicine, Sports MedicineNo
5225100000XPhysical TherapistNo
6225700000XMassage TherapistNo
7363LP2300XNurse PractitionerPrimary CareNo
8111NI0013XChiropractorIndependent Medical ExaminerNo
9111NP0017XChiropractorPediatric ChiropractorNo
10171400000XHealth and Wellness CoachNo
11133V00000XDietitian, RegisteredNo
12163WG0000XRegistered NurseGeneral PracticeNo
13171100000XAcupuncturistNo
14101Y00000XCounselorNo
15261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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