Organization
LIFECRAFT LLC
Active
Organization
LIFECRAFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY JO PUTNAM (MANAGER)
(269) 612-7222
Entity
Organization
Contact information
Practice address
515 LINCOLNWAY, LA PORTE, IN 46350-3363
(269) 612-7222
Mailing address
515 LINCOLNWAY, LA PORTE, IN 46350-3363
(269) 612-7222
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
2255A2300X
Athletic Trainer
—
—
225800000X
Recreation Therapist
Primary
—
—
226000000X
Recreational Therapist Assistant
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up