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

Ryan Bradley Reist, RD, CSSD

Individual provider Registered Dietitian · NPI 1417479080

Ryan Bradley Reist, RD, CSSD is a Registered Dietitian in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2601 Indiana Ave
Fort Campbell, KY 42223-5602
Phone: (716) 560-2896
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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 2015027208 (MO)

Record details

NPI number1417479080
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , CSSD
Sole proprietorYes
NPI enumeratedJuly 14, 2017
Last updated in NPPESAugust 9, 2017
Mailing address3811 Addison Dr, Columbia, MO 65203-5392

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