SearchUtah207Q00000X

Mackenzie Mattern

NPI 1932662517 · on the registry since 2019 · sole proprietor

Practice

Address
390 N Main St
Bountiful, UT 84010
Phone
(801) 397-6400
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Additional practice sites

  • 815 Main St Ste C, Peoria, IL
  • 133 Benmore Dr Ste 200, Winter Park, FL

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah