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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BUCK JACK, LLC

Active Organization

BUCK JACK, LLC is a Occupational Therapist organization located in PUEBLO, Colorado. NPI 1073491429 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PUEBLO, CO

Registration Details

NPI Number
1073491429
Provider Type
Organization
NPI Issued
Aug 25, 2025 (0.97288621249604 yrs)
Last Updated
Aug 25, 2025

Practice Information

Address
4025 CLUB MANOR DR
PUEBLO, CO, 810082004
Browse CO providers · Browse ZIP 81008
Phone
7195970822
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Behavior Technician
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.