Provider Demographics
NPI:1639692452
Name:HAIKIN, ASYA (C-IAYT)
Entity Type:Individual
Prefix:
First Name:ASYA
Middle Name:
Last Name:HAIKIN
Suffix:
Gender:F
Credentials:C-IAYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 N POWHATAN ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-2115
Mailing Address - Country:US
Mailing Address - Phone:202-441-9837
Mailing Address - Fax:
Practice Address - Street 1:520 N WASHINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3538
Practice Address - Country:US
Practice Address - Phone:202-441-9837
Practice Address - Fax:202-441-9837
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
20588243OtherINTERNATIONAL ASSOCIATION OF YOGA THERAPISTS