Healthcare Provider Details

I. General information

NPI: 1205764032
Provider Name (Legal Business Name): ALYSSA RAFTER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 BOSTON POST RD
GUILFORD CT
06437-2732
US

IV. Provider business mailing address

18 NAVARRO RD
EAST HAVEN CT
06512-1329
US

V. Phone/Fax

Practice location:
  • Phone: 203-533-1130
  • Fax:
Mailing address:
  • Phone: 203-687-7006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2392
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: