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Mackenzie Booth

Sports Medicine

1120 Sfh Brigham Young University
Provo , Utah 84602

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Image

Mackenzie Booth

Sports Medicine

1120 Sfh Brigham Young University
Provo , Utah 84602

(801) 866-6082

Write a Review Save Call

Mackenzie Booth

Sports Medicine

1120 Sfh Brigham Young University
Provo , Utah 84602

(801) 866-6082 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1120 Sfh Brigham Young University Provo , Utah 84602

First Address

  • Mackenzie Booth
  • 859 Holroyd Dr
  • Ogden, UT
  • Zip : 84403-4512
  • Phone : (801) 866-6082

Second Address

  • Mackenzie Booth
  • 1120 Sfh Brigham Young University
  • Provo, UT
  • Zip : 84602
  • Phone : (801) 866-6082

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FAQs


Where did Mackenzie Booth attend graduate school?

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Where did Mackenzie Booth do her residency?

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Where did Mackenzie Booth do her fellowship?

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Is Mackenzie Booth board certified?

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What type of doctor is Mackenzie Booth

Sports Medicine

In what state does Mackenzie Booth practice in?

Utah

Where is Mackenzie Booth ’s practice located?

1120 Sfh Brigham Young University , Provo, Utah, 84602

What is Mackenzie Booth ’s gender?

Female

Is Mackenzie Booth a sole practitioner?

No

Is Mackenzie Booth accepting new patients?

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What languages does Mackenzie Booth speak?

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Does Mackenzie Booth accept insurance?

Yes, Mackenzie Booth accepts insurance

Does Mackenzie Booth offers telemedicine?

Mackenzie Booth has not indicated if she offers telemedicine

What is Mackenzie Booth ’s professional license number?

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What is Mackenzie Booth ’s NPI number?

1427572627

Does Mackenzie Booth have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 10312376-4810 UT
Y 213ES0000X Sports Medicine 10312376-4810 UT

National Provider Identifier

NPI 1427572627
Provider Name Mackenzie Booth
First Address Ogden, UT 84403-4512
Second Address Provo, UT 84602
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/07/2017
Last Update Date 29/07/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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