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

Mary Childress

Individual provider Physical Therapist · NPI 1033580980

Mary Childress is a Physical Therapist in Draper, Utah. Licensed in Alabama, Florida, Indiana and Massachusetts and 5 more. Registered with an NPI since 2015.

Licensed in
AL, FL, IN, MA, NY, OH
In the registry since
2015
Specialties on file
10
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Practice location Address checks out

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone: (385) 308-8034
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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 7971 (SC)
Physical Therapist Taxonomy 225100000X · Licence 05014416A (IN)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 000025951 (MA)
Physical Therapist Taxonomy 225100000X · Licence 37906 (FL)
Physical Therapist Taxonomy 225100000X · Licence PTH10588 (AL)
Physical Therapist Taxonomy 225100000X · Licence 048155 (NY)
Physical Therapist Taxonomy 225100000X · Licence 019570 (OH)
Physical Therapist Taxonomy 225100000X · Licence 030109 (PA)
Physical Therapist Taxonomy 225100000X · Licence 040-0134309 (VT)

Record details

NPI number1033580980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2015
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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