Healthcare Provider Details

I. General information

NPI: 1457760498
Provider Name (Legal Business Name): DAVID PAUL BRAY DC, MS, LMT, ACSM-EP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 MAIN ST
EAST HARTFORD CT
06118-3236
US

IV. Provider business mailing address

48 BRADLEY ST # A2
PLAINVILLE CT
06062-1600
US

V. Phone/Fax

Practice location:
  • Phone: 203-303-4760
  • Fax:
Mailing address:
  • Phone: 203-589-5570
  • Fax: 475-218-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2359
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number007571
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: