IndividualActive
Emily Deruyter, PT, DPT
NPI 1538099460 · Pediatric Physical Therapist · Milwaukee, WI
Provider details
- NPI number
- 1538099460
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 17687-24 (WI)
Mailing address
4780 N Blue Heron Dr
West Bend, WI 53095-9185
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.