NPI 1598640930

Alicia Reardon, NDTR

Practitioner Registered Dietetic Technician Park Rapids, MN

Practice location

Address: 600 Pleasant Ave S, Park Rapids, MN 56470-1431
Phone: (218) 616-3377
Mailing address: 17664 Sunny Hill Dr, Laporte, MN 56461-5084

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86170823 (MN)

Other Dietetic Technician, Registered providers in Minnesota →

Registry record

NPI: 1598640930
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2025
Record last updated: 6 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.