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General NPI Number Information
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NPI Number | 1326980459
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Entity Type | Organization
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Legal Business Name | SACRED MOON PELVIC HEALTH, LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST STE R
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 321-412-3714
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST STE R
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE IHLENFELDT
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Credential | DPT
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Telephone | 321-412-3714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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