Provider Demographics
NPI:1437229754
Name:TRAYFORD, DENISE M (DC)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:M
Last Name:TRAYFORD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:M
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:368 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9717
Mailing Address - Country:US
Mailing Address - Phone:828-681-0350
Mailing Address - Fax:828-681-0350
Practice Address - Street 1:368 WHITE PINE DR
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-9717
Practice Address - Country:US
Practice Address - Phone:828-681-0350
Practice Address - Fax:828-681-0350
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085XUOtherBCBS
2458289Medicare ID - Type Unspecified
NC085XUOtherBCBS