BUCK JACK, LLC

COLORADO SPRINGS, CO
NPI1538837794
Doing Business AsTHE SHANDY CLINIC
Entity TypeOrganization
Authorized ContactTANNER DENN
Credentialing Manager
719-428-1840
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
225100000X Physical Therapist
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist,
Enumeration Date2021-09-02
Last Update Date2021-09-02
Business Address
BUCK JACK, LLC
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909-5381
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