Provider Demographics
NPI:1407721145
Name:WOOD, ALLISON LEE (EMT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LEE
Last Name:WOOD
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 SHAD ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-6491
Mailing Address - Country:US
Mailing Address - Phone:605-389-2617
Mailing Address - Fax:
Practice Address - Street 1:2646 SHAD ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-6491
Practice Address - Country:US
Practice Address - Phone:605-389-2617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic