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
1255964078
NPI Type
Organization
Enumeration Date
02/20/2020
Specialties
(Taxonomies)Name
Code
235Z00000X
106S00000X
103K00000X
225X00000X
225100000X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
2233 ACADEMY PL STE 200
3625 CITADEL DR S
City
Colorado Springs
Colorado Springs
State
CO
CO
Postal Code
80909-1666
80909-5320
Country
US
US
Telephone Number
(719) 597-0822
(719) 597-0822
Authorized Official
Name
Tanner Denn
Title or Position
CREDENTIALING SPECIALIST
Telephone Number
(719) 428-1840
Identifiers
Identifier
9000181601
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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