Healthcare Provider Details

I. General information

NPI: 1174392146
Provider Name (Legal Business Name): ANDREA RIGHTSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1986 N 1ST ST
HAMILTON MT
59840-3216
US

IV. Provider business mailing address

330 OERTLI LN
HAMILTON MT
59840-9359
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-8406
  • Fax:
Mailing address:
  • Phone: 406-363-8406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberBBH-SWLC-LIC-87746
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLMT-LMT-LIC-12419
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: