MACKENZIE BOOTH

PROVO, UT
NPI1427572627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT  10312376-4810)
Enumeration Date2017-07-29
Last Update Date2017-07-29
Business Address
MACKENZIE BOOTH ATC
1120 SFH BRIGHAM YOUNG UNIVERSITY
PROVO, UT 84602
Phone number: 801-866-6082
Mailing Address
MACKENZIE BOOTH ATC
859 HOLROYD DR
OGDEN, UT 84403-4512
Phone number: 801-866-6082
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