| Doctor Name: | BRADLEY D BENARD |
| NPI Number: | 1023019593 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 121252 2401 |
| Business Practice Address: | 4920 E 2550 N Unit C Eden, UT - 84310 |
| Business Phone Number: | 8017453200 |
| Business Fax Number: | |
| Mailing Address: | 1551 Renaissance Towne Dr, Ste 350 BOUNTIFUL |
| State: | UT |
| Postal Code: | 840107667 |
| Phone Number: | 8012953553 |
| Fax Number: | 8012953599 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 121252 2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |