OrganizationActive
Lifecraft LLC
NPI 1407420573 · Recreation Therapist · La Porte, IN
Provider details
- NPI number
- 1407420573
- Entity type
- Organization
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristy Putnam, Manager(269) 612-7222
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Health Educator174H00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Recreational Therapist Assistant226000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
515 Lincolnway
La Porte, IN 46350-3363
Phone: (269) 612-7222
Approximate (ZIP-level) locationGet directions
Mailing address
515 Lincolnway
La Porte, IN 46350-3363
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2021-05-13
- Certified
- 2021-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.