SearchColorado106S00000X

Samuel Wilson

NPI 1053144402 · on the registry since 2024

Practice

Address
2761 Janitell Rd
Colorado Springs, CO 80906
Phone
(719) 623-4500
Organisation at this address
Buck Jack Llc
Buck Jack, Llc
Buck Jack, Llc
Amy Shandy Speech Language Pathology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado