Individual
DEREK RAFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
31 MOHEGAN AVE, NEW LONDON, CT 06320-8103
(860) 639-3270
Mailing address
21 N NORTH SHORE RD, VOLUNTOWN, CT 06384-1721
(860) 639-3270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001090
CT
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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