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

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