OrganizationActive
Vibrant Life Direct Care, PLLC
NPI 1730880212 · Primary Care Clinic/Center · Tuttle, OK
Provider details
- NPI number
- 1730880212
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Vibrant Life Direct Care, PLLC
- Organization subpart
- Yes
- Authorized official
- Lydia Dennis, Owner(405) 708-3385
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2618 E Highway 37 Ste 100
Tuttle, OK 73089-8479
Phone: (405) 376-1381
Fax: (800) 488-3294
Approximate (ZIP-level) locationGet directions
Mailing address
2618 E Highway 37 Ste 100
Tuttle, OK 73089-8479
Other names (DBA / former)
- Other name
- Vibrant Life Direct Care Tuttle
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.