Buck Jack, LLC
NPI #1376425959 in Fountain, Colorado
Provider Information
- NPI Number
- 1376425959
- Entity Type
- Organization
- Organization Name
- Buck Jack, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 23, 2025
- Last Updated
- Jul 23, 2025
Practice Location
Authorized Official
- Name
- TANNER HALL
- Title
- INTERNAL OPERATIONS MANAGER
- Phone
- (719) 597-0822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
| Occupational Therapy Assistant |
| Physical Therapist |
| Physical Therapy Assistant |
| Occupational Therapist |
| Speech-Language Pathologist |
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