Lifecraft LLC

NPI #1407420573 in La Porte, Indiana

Provider Information

NPI Number: 1407420573
Entity Type: Organization
Organization Name: Lifecraft LLC
Primary Specialty: Recreation Therapist
Enumeration Date: May 13, 2021
Last Updated: May 13, 2021

Practice Location

Address: 515 LINCOLNWAY
City: La Porte
State: Indiana
ZIP Code: 46350-3363
Phone: (269) 612-7222

Authorized Official

Name: KRISTY JO PUTNAM
Title: MANAGER
Phone: (269) 612-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X
Peer Specialist	175T00000X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Recreational Therapist Assistant	226000000X
Recreation Therapist	225800000X	Primary

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