Provider Demographics
NPI:1194698803
Name:SAWYER, ANNIKA BREANN (MAT,LAT,ATC)
Entity type:Individual
Prefix:
First Name:ANNIKA
Middle Name:BREANN
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MAT,LAT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 22ND ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20052-0055
Mailing Address - Country:US
Mailing Address - Phone:817-690-5291
Mailing Address - Fax:
Practice Address - Street 1:600 22ND ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20052-0055
Practice Address - Country:US
Practice Address - Phone:817-690-5291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAT230001832255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer