Provider Demographics
NPI:1790332229
Name:HAYMAN, ANNIKA (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:ANNIKA
Middle Name:
Last Name:HAYMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 225TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2028
Mailing Address - Country:US
Mailing Address - Phone:425-233-1663
Mailing Address - Fax:
Practice Address - Street 1:2569 152ND AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5549
Practice Address - Country:US
Practice Address - Phone:425-497-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60978065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist