BUCK JACK LLC

PUEBLO, CO
NPI1982217097
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
225X00000X Occupational Therapist
225100000X Physical Therapist
Enumeration Date2020-08-28
Last Update Date2024-02-28
Business Address
BUCK JACK LLC
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number: 719-569-4411
Mailing Address
BUCK JACK LLC
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909-5381
Phone number: 713-725-9181