LIFECRAFT LLC NPI 1407420573

NPI Information

NPI: 1407420573
Provider Name: LIFECRAFT LLC
Classification: Recreation Therapist - 225800000X
Entity Type: Organization
Address:
515 LINCOLNWAY
LA PORTE, IN
ZIP 46350
Phone: (269) 612-7222
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LIFECRAFT LLC is a recreation therapist in La Porte, IN. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. LIFECRAFT LLC NPI is 1407420573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

515 LINCOLNWAY
LA PORTE, IN
ZIP 46350-363
Phone: (269) 612-7222

The provider's authorized official is Kristy Jo Putnam .
The authorized official title is Manager and has the following contact phone number (269) 612-7222.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174H00000X	Health Educator		No
2	175T00000X	Peer Specialist		No
3	2255A2300X	Specialist/Technologist	Athletic Trainer	No
4	225800000X	Recreation Therapist		Yes
5	226000000X	Recreational Therapist Assistant		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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