Buck Jack, LLC
Speech-Language Pathologist · Pueblo, CO
Practice location
1301 Fortino BlvdPueblo, CO 81008-2032
- Phone
- (719) 597-0822
NPI record
- NPI
- 1255213831
- Entity type
- Organization (Type 2)
- Enumeration date
- July 23, 2025
- Last updated
- July 23, 2025
- Certified
- July 23, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
— | — |
| Behavior Analyst | 103K00000X |
— | — |
| Behavior Technician | 106S00000X |
— | — |
| Occupational Therapy Assistant | 224Z00000X |
— | — |
| Physical Therapist | 225100000X |
— | — |
| Physical Therapy Assistant | 225200000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
Mailing address
2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666
Authorized official
- Name
- Tanner Hall
- Title
- Internal Operations Manager
- Phone
- (719) 597-0822
Other names
- Woven Care
About Buck Jack, LLC
Buck Jack, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1301 Fortino Blvd, Pueblo, CO 81008-2032. The NPI number 1255213831 was assigned on July 23, 2025 and the record was last updated on July 23, 2025.
The authorized official for this organization is Tanner Hall, Internal Operations Manager.
Frequently asked questions
What is the NPI number of Buck Jack, LLC?
The NPI number is 1255213831.
What is the phone number of Buck Jack, LLC?
The phone number listed for the practice location is (719) 597-0822.
Where is Buck Jack, LLC located?
1301 Fortino Blvd, Pueblo, CO 81008-2032.
What is the taxonomy code for Buck Jack, LLC?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 6 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Speech-Language Pathologist providers in Pueblo
- Kamala Ries, SLP3960 Ivywood Ln
- Jersey Garoutte126 W D St Ste 100c
- Anna Marie Maclaughlin, MS126 W D St Ste 100c
- Taylor Garcia, M.S., CF-SLP24951 E Us Highway 50
- Hannah Carney126 W D St Ste 100c
- Nia Lewis1301 Fortino Blvd
- Leah Marie Cabot, M.S., CCC-SLP221 S Union Ave
- Scott Charles Hirsch, MS CCC-SLP315 W 11TH St
- Amanda Grace Elston1301 Fortino Blvd
- Jennifer Barrett315 W 11TH St
- Rae Deane Gebbink24951 E Us Highway 50
- Jacalyn Martinez, M.S. CCC-SLP126 W D St Ste 100c