BUCK JACK LLC

MONUMENT, CO
NPI1174121487
Doing Business AsTHE SHANDY CLINIC
Entity TypeOrganization
Authorized ContactREBECCA NEWMAN
Billing Manager
719-597-0822
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 Date2020-10-09
Business Address
BUCK JACK LLC
17230 JACKSON CREEK PKWY STE 220
MONUMENT, CO 80132-7304
Phone number: 719-597-0822
Mailing Address
BUCK JACK LLC
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909-5381
Phone number: 719-597-0822