Healthcare Provider Details

I. General information

NPI: 1114899689
Provider Name (Legal Business Name): SERENE CHILDBIRTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 E HIGHWAY 37
TUTTLE OK
73089
US

IV. Provider business mailing address

2029 E HIGHWAY 37
TUTTLE OK
73089
US

V. Phone/Fax

Practice location:
  • Phone: 405-463-4634
  • Fax:
Mailing address:
  • Phone: 405-463-4634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ALEXIS BARNES
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT, WCS
Phone: 405-463-4634