Buck Jack, LLC
Occupational Therapist in Aurora, CO. Organization (NPI-2).
NPI number1609758366
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1609758366
- Entity type
- Organization (NPI-2)
- Legal business name
- Buck Jack, LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2025
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Other names
- Woven Care (Doing Business As)
Practice location
3131 S Vaughn Way Ste 110Aurora, CO 80014-3501
Phone 719-597-0822 · Fax 719-599-4606
Mailing address
2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666
Authorized official
Tanner Hall
Internal Operations Manager
7195970822
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