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

Mackenzie Booth, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1427572627

Mackenzie Booth, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1120 Sfh Brigham Young University
Provo, UT 84602
Phone: (801) 866-6082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 10312376-4810 (UT)

Record details

NPI number1427572627
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 29, 2017
Last updated in NPPESJuly 29, 2017
Mailing address859 Holroyd Dr, Ogden, UT 84403-4512

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