BUCK JACK LLC
NPI 1912505116
Occupational Therapist in Pueblo, CO
About Buck Jack Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUCK JACK LLC (NPI 1912505116), doing business as The Shandy Clinic, is a healthcare organization registered as an occupational therapist in Pueblo, Colorado and active in the NPI registry since October 2020. The organization lists Rebecca Newman, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1912505116. It was assigned to this organization in the NPPES registry on October 12, 2020. The provider is doing business as The Shandy Clinic.
Where is Buck Jack LLC located?
Buck Jack LLC is located at 1301 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (719) 597-0822.
What is Buck Jack LLC's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Buck Jack LLC was last updated on October 12, 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.