MEDICARE: ENHANCE BY LINDA REIB INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224900000X	Mastectomy Fitter
2	225000000X	Orthotic Fitter
3	222Z00000X	Orthotist

General Provider Information

NPI Number	:	1851461123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENHANCE BY LINDA REIB INC.

Provider Business Mailing Address
First Line	:	4811 CHIPPENDALE DR
Second Line	:	SUITE 208
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-2555
Country	:	US
Telephone Number	:	916-638-2508
Fax Number	:	916-344-8045

Provider Business Practice Location Address
First Line	:	4811 CHIPPENDALE DR
Second Line	:	SUITE 208
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-2555
Country	:	US
Telephone Number	:	916-638-2508
Fax Number	:	916-349-2660

Authorized Official
Title or Position	:	DELEGATED OFFICIAL
Name	:	LARRY D. REIB
Credential	:	C.O.
Telephone Number	:	916-595-1314

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	02/21/2018

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