DoctorDataHub
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 COLORADO SPRINGS, Colorado. NPI 1104424423 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COLORADO SPRINGS, CO

Registration Details

NPI Number
1104424423
Provider Type
Organization
NPI Issued
Oct 9, 2020 (5.8547247316503 yrs)
Last Updated
Feb 28, 2024

Practice Information

Address
3625 CITADEL DR S
COLORADO SPRINGS, CO, 809095320
Browse CO providers · Browse ZIP 80909
Phone
7195970822
Fax
7195994606
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Psychologist
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.