MEDICARE: ROOTED ALCHEMY COLLECTIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366384794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED ALCHEMY COLLECTIVE

Provider Business Mailing Address
First Line	:	4145 XAVIER ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2231
Country	:	US
Telephone Number	:	616-560-8458
Fax Number	:

Provider Business Practice Location Address
First Line	:	4145 XAVIER ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2231
Country	:	US
Telephone Number	:	616-560-8458
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	SARA MOSER
Credential	:
Telephone Number	:	616-560-8458

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/07/2026

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Directions to “ROOTED ALCHEMY COLLECTIVE ” Practice Location

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