BUCK JACK LLC

COLORADO SPRINGS, CO
NPI1871106997
Doing Business AsTHE SHANDY CLINIC
Entity TypeOrganization
Authorized ContactWILLIAM COLT
President
713-410-6889
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
103TC0700X Psychologist, Clinical
225100000X Physical Therapist
225X00000X Occupational Therapist
Enumeration Date2020-08-28
Last Update Date2020-10-01
Business Address
BUCK JACK LLC
830 TENDERFOOT HILL RD STE 100
COLORADO SPRINGS, CO 80906-7372
Phone number: 719-623-4500
Mailing Address
BUCK JACK LLC
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909-5381
Phone number: 713-725-9181