Buck Jack, LLC
Buck Jack, LLC is a healthcare organization registered as Occupational Therapist in Pueblo, CO, holding Type 2 (organization) NPI 1295523108 since 2025. The authorized official on file is Tanner Hall, Internal Operations Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295523108 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Buck Jack, LLC |
| Practice address | 304 E ROUTT AVE, Pueblo, CO, 81004 |
| Phone | 7195970822 |
| Fax | 7195994606 |
| Enumeration date | 2025-04-29 |
| Last updated in NPPES | 2025-04-29 |
Authorized official
| Name | Tanner Hall |
|---|---|
| Title | Internal Operations Manager |
| Phone | 7195970822 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 225200000X | Physical Therapy Assistant | Secondary | — | — |
| 224Z00000X | Occupational Therapy Assistant | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Primary | — | — |
Copy-ready billing details
Provider: Buck Jack, LLC NPI: 1295523108 Taxonomy: 225X00000X (Occupational Therapist) Address: 304 E ROUTT AVE, Pueblo, CO, 81004
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164084380 | Nathan Hughes | Individual | Behavior Analyst | Pueblo, CO |
| 1205624111 | Buck Jack, LLC | Organization | Behavior Analyst | Pueblo, CO |
| 1508748187 | Buck Jack, LLC | Organization | Speech-Language Pathologist | Pueblo, CO |
| 1659244374 | Mouk Pany | Individual | Behavior Technician | Pueblo, CO |
| 1588530158 | Taylah Vigil | Individual | Behavior Technician | Pueblo, CO |
| 1215805478 | Micaela Perez | Individual | Behavior Technician | Pueblo, CO |
| 1114887320 | Kayleigh Willis | Individual | Behavior Technician | Pueblo, CO |
| 1073477253 | Ciarra Mcdonald | Individual | Behavior Technician | Pueblo, CO |
Verify this record
Cross-check NPI 1295523108 against the authoritative CMS record: view Buck Jack, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Buck Jack, LLC?
Who is the authorized official for Buck Jack, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-29.