Provider Demographics
NPI:1952948408
Name:HOLISTIC INTERNATIONAL SYSTEMS, LLC
Entity Type:Organization
Organization Name:HOLISTIC INTERNATIONAL SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHODA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PILLSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPLAC, FEA
Authorized Official - Phone:262-221-2756
Mailing Address - Street 1:3821 SOUTHWOOD DR APT 216
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-5538
Mailing Address - Country:US
Mailing Address - Phone:262-221-2756
Mailing Address - Fax:
Practice Address - Street 1:7510 288TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:WI
Practice Address - Zip Code:53168-9550
Practice Address - Country:US
Practice Address - Phone:262-221-2756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty