Mackenzie Booth, ATC

NPI #1427572627 in Provo, Utah

Provider Information

NPI Number
1427572627
Entity Type
Individual
Name
Mackenzie Booth, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
ATC
Enumeration Date
Jul 29, 2017
Last Updated
Jul 29, 2017

Practice Location

Address
1120 SFH
Address 2
BRIGHAM YOUNG UNIVERSITY
City
Provo
State
Utah
ZIP Code
84602
Phone
(801) 866-6082

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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