Provider Demographics
NPI:1174223499
Name:VYANA INFANT MASSAGE LLC
Entity type:Organization
Organization Name:VYANA INFANT MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHYATI
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI-SELTZER
Authorized Official - Suffix:
Authorized Official - Credentials:CEIM
Authorized Official - Phone:202-505-8993
Mailing Address - Street 1:1210 S GLEBE RD # 41754
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-9998
Mailing Address - Country:US
Mailing Address - Phone:202-505-8993
Mailing Address - Fax:
Practice Address - Street 1:1601 10TH ST S
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4769
Practice Address - Country:US
Practice Address - Phone:170-399-9695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health