Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demotris Dwayne De Valk Jr.

Individual provider Rehabilitation Practitioner · NPI 1235797341

Demotris Dwayne De Valk Jr. is a Rehabilitation Practitioner in Mount Pleasant, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone: (262) 799-8330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16408 (WI)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1235797341
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023