Derek Rafeldt, MS, ATC, LAT
Specialist/Technologist, Athletic Trainer in New London, CT. Individual provider (NPI-1).
NPI number1336099274
StatusActive
Last updated in NPPESJan 30, 2026
Details
- NPI
- 1336099274
- Entity type
- Individual (NPI-1)
- Name
- Derek Rafeldt
- Credential
- MS, ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2026
- Certification date
- Jan 30, 2026
- Last updated
- Jan 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 001090 | CT | Yes |
Practice location
31 Mohegan AveNew London, CT 06320-8103
Phone 860-639-3270
Mailing address
21 N North Shore RdVoluntown, CT 06384-1721
Phone 860-639-3270
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All 15 Athletic Trainer providers in New London · All 1,472 providers in New London
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