Individual provider · Type 1 NPI

Emily J. Domaille, PTA

Physical Therapy Assistant · Sheboygan, WI

NPI number 1558056010 Active

Practice location

1125 N 13th St
Sheboygan, WI 53081-3281

Call (920) 803-1617 Map

Fax (920) 803-1622

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3070-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1558056010

Emily J. Domaille, PTA's National Provider Identifier is 1558056010, issued on Apr 10, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sheboygan, WI. The record was last updated on Apr 10, 2023.