BUCK JACK LLC

COLORADO SPRINGS, CO
NPI1104424423
Doing Business AsWOVEN CARE
Entity TypeOrganization
Authorized ContactTANNER DENN
Credentialing Specialist
719-428-1840
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
225100000X Physical Therapist
235Z00000X Speech-Language Pathologist
Enumeration Date2020-10-09
Last Update Date2024-02-28
Business Address
BUCK JACK LLC
3625 CITADEL DR S
COLORADO SPRINGS, CO 80909-5320
Phone number: 719-597-0822
Mailing Address
BUCK JACK LLC
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number: 719-597-0822