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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 CANNON CITY, Colorado. NPI 1508472317 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CANNON CITY, CO

Registration Details

NPI Number
1508472317
Provider Type
Organization
NPI Issued
Sep 17, 2020 (5.9207980634941 yrs)
Last Updated
Oct 1, 2020

Practice Information

Address
MOUNTAIN VIEW CORE KNOWLEDGE SCHOOL
890 FIELD AVE
CANNON CITY, CO, 812129250
Browse CO providers · Browse ZIP 81212
Phone
7195970822
Fax
7195994606
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Organizations in CANNON CITY, CO

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.