Provider Demographics
NPI:1376619197
Name:TRAYFORD, MICHAEL SCOTT (BS DC DACNB)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:TRAYFORD
Suffix:
Gender:M
Credentials:BS DC DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WALDEN RIDGE DR
Mailing Address - Street 2:SUITE 80
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-8597
Mailing Address - Country:US
Mailing Address - Phone:828-708-5274
Mailing Address - Fax:
Practice Address - Street 1:2 WALDEN RIDGE DR
Practice Address - Street 2:SUITE 80
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8597
Practice Address - Country:US
Practice Address - Phone:828-708-5274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3403111NN0400X
NYX009097111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
U78940Medicare UPIN
NC2458124Medicare PIN