Individual provider · Type 1 NPI

Alicia Reardon, NDTR

Registered Dietetic Technician · Park Rapids, MN

NPI number 1598640930 Active

Practice location

600 Pleasant Ave S
Park Rapids, MN 56470-1431

Call (218) 616-3377 Map

Mailing address

17664 Sunny Hill Dr
Laporte, MN 56461-5084

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000X86170823 (MN)

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

27 other providers at this address

About NPI 1598640930

Alicia Reardon, NDTR's National Provider Identifier is 1598640930, issued on Aug 6, 2025. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Park Rapids, MN. The record was last updated on Aug 6, 2025.