MEDICARE: DR. MARIANN REIMER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	16825	CA

General Provider Information

NPI Number	:	1578571717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIANN REIMER D.C.

Provider Business Mailing Address
First Line	:	778 ALTOS OAKS DR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5401
Country	:	US
Telephone Number	:	650-949-3232
Fax Number	:	650-949-9212

Provider Business Practice Location Address
First Line	:	778 ALTOS OAKS DR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5401
Country	:	US
Telephone Number	:	650-949-3232
Fax Number	:	650-949-9212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. MARIANN REIMER D.C.” Practice Location

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