NPI 1407420573
Lifecraft LLC
Practice location
- Address
- 515 Lincolnway, La Porte, IN 46350-3363
- Phone
- (269) 612-7222
Authorised official
- Name
- Kristy Jo Putnam
- Title
- Manager
- Phone
- (269) 612-7222
Registered specialties (5)
Recreation Therapist
Primary
Health Educator
Peer Specialist
Athletic Trainer
Recreational Therapist Assistant
Registry record
- NPI
- 1407420573
- Entity type
- Organization
- NPI issued
- 13 May 2021
- Record last updated
- 13 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.