NPI 1093312258

Buck Jack LLC

Organisation Speech-Language Pathologist Denver, CO

Practice location

Address: 3901 E Yale Ave, Denver, CO 80210-6646
Phone: (719) 597-0822
Fax: (719) 599-4606
Mailing address: 2233 Academy Pl STE 200, Colorado Springs, CO 80909-1666

Authorised official

Name: Tanner Denn
Title: Credentialing Specialist
Phone: (719) 428-1840

Registered specialties (3)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registry record

NPI: 1093312258
Entity type: Organization
NPI issued: 1 Oct 2020
Record last updated: 29 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.