BUCK JACK LLC

FOUNTAIN, CO
NPI1356954424
Doing Business AsWOVEN CARE
Entity TypeOrganization
Authorized ContactTANNER DENN
Credentialing Specialist
719-428-1840
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
225100000X Physical Therapist
225X00000X Occupational Therapist
Enumeration Date2020-08-28
Last Update Date2024-02-28
Business Address
BUCK JACK LLC
901 N SANTA FE AVE
FOUNTAIN, CO 80817-1738
Phone number: 719-822-0550
Mailing Address
BUCK JACK LLC
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number: 713-725-9181