BUCK JACK LLC

MONUMENT, CO
NPI1932712056
Doing Business AsWOVEN CARE
Entity TypeOrganization
Authorized ContactTANNER DENN
Credentialing Specialist
719-428-1840
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies103K00000X Behavior Analyst
103T00000X Psychologist
225100000X Physical Therapist
225X00000X Occupational Therapist
Enumeration Date2020-08-28
Last Update Date2024-02-28
Business Address
BUCK JACK LLC
17230 JACKSON CREEK PKWY STE 220
MONUMENT, CO 80132-7304
Phone number: 719-488-3348
Mailing Address
BUCK JACK LLC
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number: 719-597-0822