Mackenzie Booth, ATC - Physical Medicine & Rehabilitation in Provo, UT

Mackenzie Booth, ATC is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Provo, Utah. Mackenzie Booth is licensed to practice in Utah (license number 10312376-4810) and her current practice location is 1120 Sfh, Brigham Young University, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 866-6082.

NPI number for Mackenzie Booth is 1427572627 and her current mailing address is 859 Holroyd Dr, Ogden, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427572627.

Contact Information

Mackenzie Booth, ATC
1120 Sfh, Brigham Young University,
Provo, UT 84602
(801) 866-6082
Not Available



Physician's Profile

Full NameMackenzie Booth
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location1120 Sfh, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427572627
  • Provider Enumeration Date: 07/29/2017
  • Last Update Date: 07/29/2017

Medical Identifiers

Medical identifiers for Mackenzie Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427572627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 10312376-4810 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Booth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mackenzie Booth, ATC
859 Holroyd Dr,
Ogden, UT 84403-4512

Ph: (801) 866-6082
Mackenzie Booth, ATC
1120 Sfh, Brigham Young University,
Provo, UT 84602

Ph: (801) 866-6082

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› Verified 3 days ago


Physical Medicine & Rehabilitation Doctors in Provo, UT

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Dr. Kirk W Leininger, MD
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Phone: 801-357-8818    Fax: 801-357-8817

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