Buck Jack Llc
May also be knows as Woven Care
Speech-Language Pathologist in Colorado Springs, CO(View on Map)
Legal Business Name
Buck Jack Llc
Also Known As
Woven Care
NPI Number
1184237299
NPI Type
Organization
Enumeration Date
08/28/2020
Specialties
(Taxonomies)Name
Code
235Z00000X
103K00000X
225X00000X
225100000X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
2233 ACADEMY PL STE 200
917 E MORENO AVE STE 150
City
Colorado Springs
Colorado Springs
State
CO
CO
Postal Code
80909-1666
80903-4547
Country
US
US
Telephone Number
N/A
(719) 623-6650
Authorized Official
Name
Tanner Denn
Title or Position
CREDENTIALING SPECIALIST
Telephone Number
(719) 428-1840
Identifiers
Identifier
9000185804
Identifier State
CO
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2024
Provider Address
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