Provider Demographics
NPI:1275410607
Name:WILSON, ALLISON PAIGE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PAIGE
Last Name:WILSON
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 RESH RD
Mailing Address - Street 2:
Mailing Address - City:REINHOLDS
Mailing Address - State:PA
Mailing Address - Zip Code:17569-9486
Mailing Address - Country:US
Mailing Address - Phone:717-799-0199
Mailing Address - Fax:
Practice Address - Street 1:170 RESH RD
Practice Address - Street 2:
Practice Address - City:REINHOLDS
Practice Address - State:PA
Practice Address - Zip Code:17569-9486
Practice Address - Country:US
Practice Address - Phone:717-799-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86265467133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered