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

Audrey Jean Mallon, DPT

Individual provider Physical Therapist · NPI 1215420724

Audrey Jean Mallon, DPT is a Physical Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10851651-2401 (UT)

Record details

NPI number1215420724
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 8, 2018
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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