BUCK JACK, LLC DBA THE SHANDY CLINIC

PUEBLO, CO
NPI1891443370
Doing Business AsWOVEN CARE
Entity TypeOrganization
Authorized ContactTANNER DENN
Credentialing Specialist
719-428-1840
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies225100000X Physical Therapist
225X00000X Occupational Therapist
103T00000X Psychologist
235Z00000X Speech-Language Pathologist,
106S00000X Behavior Technician
Enumeration Date2022-03-14
Last Update Date2024-02-28
Business Address
BUCK JACK, LLC DBA THE SHANDY CLINIC
1325 S PRAIRIE AVE
PUEBLO, CO 81005-2326
Phone number: 719-597-0822
Mailing Address
BUCK JACK, LLC DBA THE SHANDY CLINIC
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number: 719-597-0822