Provider Demographics
NPI:1942798582
Name:WOOD, ASHLI DAWN
Entity Type:Individual
Prefix:MRS
First Name:ASHLI
Middle Name:DAWN
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 1:305 US HIGHWAY 50 E
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:MO
Mailing Address - Zip Code:65081-8606
Mailing Address - Country:US
Mailing Address - Phone:660-433-2213
Mailing Address - Fax:
Practice Address - Street 1:305 US HIGHWAY 50 E
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:MO
Practice Address - Zip Code:65081-8606
Practice Address - Country:US
Practice Address - Phone:660-433-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist