Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Reardon, NDTR

Individual provider Registered Dietetic Technician · NPI 1598640930

Alicia Reardon, NDTR is a Registered Dietetic Technician in Park Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

600 Pleasant Ave S
Park Rapids, MN 56470-1431
Phone: (218) 616-3377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence 86170823 (MN)

Record details

NPI number1598640930
Entity typeIndividual (Type 1)
GenderFemale
Credentials NDTR
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025