MEDICARE: DRIA RIOS SALON AND BARBER LOFT

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1790612455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRIA RIOS SALON AND BARBER LOFT

Provider Business Mailing Address
First Line	:	25831 FORESTVIEW AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-1017
Country	:	US
Telephone Number	:	440-953-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	25831 FORESTVIEW AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-1017
Country	:	US
Telephone Number	:	800-953-0070
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE JOHNSON
Credential	:
Telephone Number	:	800-953-0070

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/07/2026

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Directions to “DRIA RIOS SALON AND BARBER LOFT ” Practice Location

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