Provider Demographics
NPI:1891934808
Name:PILLSBURY, CIMA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:CIMA
Middle Name:
Last Name:PILLSBURY
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 BOYLSTON ST STE 403
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-3826
Mailing Address - Country:US
Mailing Address - Phone:617-894-0332
Mailing Address - Fax:833-471-4782
Practice Address - Street 1:376 BOYLSTON ST STE 403
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3826
Practice Address - Country:US
Practice Address - Phone:617-894-0332
Practice Address - Fax:833-471-4782
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAND-0005175F00000X
MENP713175F00000X
MA294117171100000X
AK123171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath