Individual
ALEXIS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-5439
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
14048463-4901
UT
133V00000X
Registered Dietitian
Primary
86327046
UT
Other
Enumeration date
12/04/2025
Last updated
02/25/2026
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