Healthcare Provider Details

I. General information

NPI: 1194514646
Provider Name (Legal Business Name): HAPPY HANDS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S UNION ST STE 3
CROWN POINT IN
46307-4138
US

IV. Provider business mailing address

3225 MCLEOD DR. SUITE 100
LAS VEGAS NV
89121
US

V. Phone/Fax

Practice location:
  • Phone: 219-200-2283
  • Fax: 219-666-6842
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA KLUKKEN
Title or Position: MEMBER
Credential: OTD, OTR
Phone: 219-200-2283