BUCK JACK LLC

FOUNTAIN, CO
NPI1467050658
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 Date2020-10-12
Last Update Date2020-10-12
Business Address
BUCK JACK LLC
901 N SANTA FE AVE
FOUNTAIN, CO 80817-1738
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