Healthcare Provider Details

I. General information

NPI: 1922272418
Provider Name (Legal Business Name): THE KRATZ GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 SAND CREEK DR SUITE C
CHESTERTON IN
46304-1589
US

IV. Provider business mailing address

605 MCCORD RD
VALPARAISO IN
46383-3646
US

V. Phone/Fax

Practice location:
  • Phone: 219-929-4151
  • Fax: 219-926-9730
Mailing address:
  • Phone: 219-465-1554
  • Fax: 219-462-6028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateIN

VIII. Authorized Official

Name: JENNIFER KRATZ
Title or Position: PRESIDENT
Credential: OTR
Phone: 219-465-1554