IndividualActive
Alicia Reardon, NDTR
NPI 1598640930 · Registered Dietetic Technician · Park Rapids, MN
Provider details
- NPI number
- 1598640930
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
- License
- 86170823 (MN)
Mailing address
17664 Sunny Hill Dr
Laporte, MN 56461-5084
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.