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

Emily J Domaille, PTA

Individual provider Physical Therapy Assistant · NPI 1558056010

Emily J Domaille, PTA is a Physical Therapy Assistant in Sheboygan, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1125 N 13th St
Sheboygan, WI 53081-3281
Phone: (920) 803-1617
Fax: (920) 803-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3070-19 (WI)

Record details

NPI number1558056010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023

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