Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Buck Jack LLC

Organization Physical Therapist · NPI 1083212393

Buck Jack LLC is a Physical Therapist in Cannon City, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

Mountain View Core Knowledge School 890 Field Ave
Cannon City, CO 81212
Phone: (719) 597-0822
Fax: (719) 599-4606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1083212393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Denn — Credentialing Specialist · (719) 428-1840
Other names Woven Care
NPI enumeratedOctober 9, 2020
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address2233 Academy Pl Ste 200, Colorado Springs, CO 80909-1666

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