Provider Demographics
NPI:1841303351
Name:DRAYTON, VESTA (CTRS)
Entity type:Individual
Prefix:MRS
First Name:VESTA
Middle Name:
Last Name:DRAYTON
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NH
Mailing Address - Zip Code:03741
Mailing Address - Country:US
Mailing Address - Phone:603-523-7845
Mailing Address - Fax:
Practice Address - Street 1:215 MAIN ST.
Practice Address - Street 2:MAIL STOP 117
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:NH
Practice Address - Zip Code:05009
Practice Address - Country:US
Practice Address - Phone:802-295-9363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist