Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Reau Broadwater, MS, RD, LD, CSCS

Individual provider Registered Dietitian · NPI 1063966984

Alyssa Reau Broadwater, MS, RD, LD, CSCS is a Registered Dietitian in Dublin, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

4353 Tuller Rd Ste K
Dublin, OH 43017-5071
Phone: (937) 642-9037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 8024 (OH)

Record details

NPI number1063966984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD , CSCS
Sole proprietorYes
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020

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