BUCK JACK, LLC

PUEBLO, CO
NPI1821806027
Doing Business AsWOVEN CARE
Entity TypeOrganization
Authorized ContactTANNER HALL
Credentialing Specialist
719-597-0822
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106S00000X Behavior Technician
224Z00000X Occupational Therapy Assistant
225100000X Physical Therapist
225200000X Physical Therapy Assistant
225X00000X Occupational Therapist
2355S0801X Specialist/Technologist, Speech-Language Assistant
235Z00000X Speech-Language Pathologist,
Enumeration Date2024-12-20
Last Update Date2024-12-20
Business Address
BUCK JACK, LLC
1301 FORTINO BLVD
PUEBLO, CO 81008-2032
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