Organization · Type 2 NPI

Buck Jack, LLC

Occupational Therapist · Pueblo, CO

NPI number 1295523108 Active

Practice location

304 E Routt Ave
Pueblo, CO 81004-2122

Call (719) 597-0822 Map

Fax (719) 599-4606

Mailing address

2233 Academy Pl Ste 200
Colorado Springs, CO 80909-1666

Specialties and licenses

Taxonomy	Code	License
Occupational Therapy Assistant	224Z00000X	None listed
Physical Therapist	225100000X	None listed
Physical Therapy Assistant	225200000X	None listed
Occupational Therapist Primary	225X00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1295523108

Buck Jack, LLC's National Provider Identifier is 1295523108, issued on Apr 29, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pueblo, CO. The record was last updated on Apr 29, 2025.