Provider Demographics
NPI:1649472994
Name:RIGHTMYER, MICHELLE L (RD, LDN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:RIGHTMYER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 HALE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2711
Mailing Address - Country:US
Mailing Address - Phone:978-400-1646
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:774-443-8928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1965133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered