Provider Demographics
NPI:1467178939
Name:WOOD, ASHLEY FAY
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:FAY
Last Name:WOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HOISINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67544-2509
Mailing Address - Country:US
Mailing Address - Phone:620-617-5658
Mailing Address - Fax:
Practice Address - Street 1:323 E 1ST ST
Practice Address - Street 2:
Practice Address - City:HOISINGTON
Practice Address - State:KS
Practice Address - Zip Code:67544-2509
Practice Address - Country:US
Practice Address - Phone:620-617-5658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician