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Buck Jack, LLC

Speech-Language Pathologist in Fountain, CO · enumerated 2025 · authorized official Tanner Hall, Internal Operations Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275415853

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Registry record

Entity type Organization (Type 2)
Legal business name Buck Jack, LLC
Practice address 6436 S Us Highway 85-87 Ste U, Fountain, CO, 80817
Phone (719) 597-0822
Enumeration date Jul 23, 2025
Last updated in NPPES Jul 23, 2025

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
106S00000X Behavior Technician Behavioral Health & Social Service Providers Secondary
224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Tanner Hall
Title Internal Operations Manager
Phone (719) 597-0822

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Buck Jack, LLC?
Buck Jack, LLC is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-23.