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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE BOOTH, ATC

Active

MACKENZIE BOOTH, ATC is a Sports Medicine (PM&R) healthcare provider located in PROVO, Utah. NPI 1427572627 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · PROVO, UT

Registration Details

NPI Number
1427572627
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2017 (9.0181491030083 yrs)
Last Updated
Jul 29, 2017
License
10312376-4810 (UT)

Practice Information

Address
1120 SFH
BRIGHAM YOUNG UNIVERSITY
PROVO, UT, 84602
Browse UT providers · Browse ZIP 84602
Phone
8018666082
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in PROVO, UT

Name Credential NPI
CLAIRE A GROSS MD 1144664681
SARAH HUPPI ATC, LAT 1821513755
MIRANDA GREER ATC, LAT 1689184053
CAMILLE ELIZABETH CROCKETT ATC 1396393393
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.