IndividualActive
Alexis Bennett, RD
NPI 1255294419 · Registered Dietitian · Logan, UT
Provider details
- NPI number
- 1255294419
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 14048463-4901 (UT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1400 N 500 E
Logan, UT 84341-2455
Phone: (435) 716-5439
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.