Whalio Doctors

NPI 1124872809

Buck Jack, LLC

Organisation Occupational Therapist Denver, CO

Practice location

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

Authorised official

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

Registered specialties (5)

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1124872809
Entity type
Organization
NPI issued
17 Apr 2024
Record last updated
17 Apr 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.