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Autumn Muckenhirn
NPI 1932888476 · on the registry since 2023
Practice
- Address
- 2088 Woodpecker Ln
Elizabeth, CO 80107 - Phone
- (601) 493-6968
- Organisation at this address
- Sundance Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- CA, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado