Buck Jack LLC
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.
Practice location Partly verified
Mountain View Core Knowledge School 890 Field AveCannon City, CO 81212-9250
Phone: (719) 597-0822
Fax: (719) 599-4606
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1508472317 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rebecca Newman — Billing Manager · (719) 597-0822 |
| Other names | The Shandy Clinic; The Shandy Clinic |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
| Mailing address | 685 Citadel Dr E Ste 580, Colorado Springs, CO 80909-5381 |
Other providers in Cannon City
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Buck Jack LLC
Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 · (719) 597-0822