Provider Demographics
NPI:1336470582
Name:TRAFTON, ALLISON COATES (LMT, BA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:COATES
Last Name:TRAFTON
Suffix:
Gender:F
Credentials:LMT, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 5TH ST. #3
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:541-499-1279
Mailing Address - Fax:
Practice Address - Street 1:CLEAR CREEK HEALING ARTS 153 CLEAR CREEK DR.
Practice Address - Street 2:STE. 101
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-499-1279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13246225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist