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

MCKENNA BOOTHE, LAT, ATC

Active Sole Proprietor

MCKENNA BOOTHE, LAT, ATC is a Athletic Trainer healthcare provider located in DRAPER, Utah. NPI 1811550718 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DRAPER, UT

Registration Details

NPI Number
1811550718
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2019 (7.2918822667503 yrs)
Last Updated
Jun 11, 2019
License
10416520-4810 (UT)
Sole Proprietor
Yes

Practice Information

Address
12943 S 700 E
DRAPER, UT, 840206200
Browse UT providers · Browse ZIP 84020
Phone
8018266400
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DRAPER, UT

Name Credential NPI
MR. HECTOR JAMES RODAS LAT, ATC 1245758499
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.