Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA M. GAMMON-WILSON, LMT, CBT
Active Sole ProprietorIDA M. GAMMON-WILSON, LMT, CBT is a Massage Therapist healthcare provider located in FARMINGDALE, Maine. NPI 1629090519 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FARMINGDALE, ME
Registration Details
- NPI Number
- 1629090519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2006 (20.057090854922 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ME#MT6 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
690 MAINE AVEFARMINGDALE, ME, 043441539Browse ME providers · Browse ZIP 04344
- Phone
- 2076224062
- Fax
- 2076224062
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FARMINGDALE, ME
| Name | Credential | NPI |
|---|---|---|
| ALECIA LORANCE | LMT | 1649055799 |
| KATHERINE GONNEVILLE | — | 1992596068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.