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Speech-Language Pathologist,

BUCK JACK, LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Practice location in FOUNTAIN

Public record

NPI 1275415853 · enumerated 2025-07-23 · record updated 2025-07-23. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: TANNER HALL, Internal Operations Manager · (719) 597-0822

Other names: WOVEN CARE

Addresses and phones

Specialties

  • Behavior Analyst 103K00000X
  • Behavior Technician 106S00000X
  • Occupational Therapy Assistant 224Z00000X
  • Physical Therapist 225100000X
  • Physical Therapy Assistant 225200000X
  • Occupational Therapist 225X00000X
  • Speech-Language Pathologist, 235Z00000X · Primary

In this directory

Locations and evidence

  • Practice location FOUNTAIN, CO, 808171007
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.