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BUCK JACK LLC
NPI 1164025359
Speech-Language Pathologist in Colorado Springs, CO

Active since November 19, 2020
685 CITADEL DR E STE 580, COLORADO SPRINGS, CO 80909(713) 410-6889 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buck Jack Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCK JACK LLC (NPI 1164025359), doing business as The Shandy Clinic, is a healthcare organization registered as a speech-language pathologist in Colorado Springs, Colorado and active in the NPI registry since November 2020. The organization lists William Colt, President, as its authorized official.

NPPES Registry Identity

NPI1164025359
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBUCK JACK LLC
Location Address685 CITADEL DR E STE 580Colorado Springs, CO 80909-5381
Mailing Address685 Citadel Dr E Ste 580Colorado Springs, CO 80909-5381 · (713) 410-6889
Phone(713) 410-6889
Organization SubpartNo
Authorized OfficialWilliam ColtPresident · (713) 410-6889
Enumeration DateNovember 19, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1164025359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
685 CITADEL DR E STE 580, Colorado Springs, CO 80909
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Other Names 1

Doing Business AsThe Shandy Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RILEY ELIZABETH DAVID OTD, OTR/L
Occupational Therapist (Pediatrics)
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909
El Paso County (719) 597-0822
BUCK JACK, LLC
Home Health
685 CITADEL DR E STE 580
COLORADO SPRINGS, CO 80909
El Paso County (719) 597-0822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buck Jack LLC's NPI number?

The NPI number for Buck Jack LLC is 1164025359. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as The Shandy Clinic.

Where is Buck Jack LLC located?

Buck Jack LLC is located at 685 Citadel Dr E Ste 580, Colorado Springs, CO 80909. The listed phone number is (713) 410-6889.

What is Buck Jack LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Buck Jack LLC was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.