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

Nicole Mattingly

Individual provider Physical Therapist · NPI 1538571104

Nicole Mattingly is a Physical Therapist in Park City, Utah. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2014

Practice location Address checks out

1640 Redstone Ctr Dr
Park City, UT 84098-7605 Not confirmed with CMS for 12 years — call before visiting
Phone: (435) 776-7222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2010006700 (MO)

Record details

NPI number1538571104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2014
Last updated in NPPESMay 29, 2014

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