Healthcare Provider Details

I. General information

NPI: 1780304592
Provider Name (Legal Business Name): EMILEE TREUTHARDT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILEE MILLER PT, DPT

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 22ND AVE
MONROE WI
53566-1569
US

IV. Provider business mailing address

515 22ND AVE
MONROE WI
53566-1569
US

V. Phone/Fax

Practice location:
  • Phone: 608-324-2000
  • Fax:
Mailing address:
  • Phone: 608-324-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16046
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: