Ida M Gammon-Wilson, LMT, CBT
Massage Therapist in Farmingdale, Maine
1629090519- Practice location
- 690 Maine Ave, Farmingdale, ME 04344-1539
- Phone
- 207-622-4062
- Fax
- 207-622-4062
- Last updated
- July 8, 2007
Ida M. Gammon-Wilson is a Massage Therapist based in Farmingdale, ME. Ida M. Gammon-Wilson practices in Farmingdale, ME and has the professional credentials of LMT, CBT. The NPI Number for Ida M. Gammon-Wilson is 1629090519 and holds a License No. ME#MT6 (ME). The current practice location address for Ida M. Gammon-Wilson is 690 Maine Ave, Farmingdale, ME 04344-1539 and can be reached out via phone at 207-622-4062 and via fax at 207-622-4062.
Provider Profile Details
- NPI Number
- 1629090519
- Provider Name
- Ida M. Gammon-Wilson
- Credential
- LMT, CBT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 690 Maine Ave, Farmingdale, ME 04344-1539
- Phone Number
- 207-622-4062
- Fax Number
- 207-622-4062
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 23, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 690 Maine Ave
Farmingdale, ME 04344-1539 - City
- Farmingdale
- State
- Maine
- Zip
- 04344-1539
- Phone Number
- 207-622-4062
- Fax Number
- 207-622-4062
Provider Business Mailing Address Details
- Address
- Po Box 502
Hallowell, ME 04347-0502 - City
- Hallowell
- State
- ME
- Zip
- 04347-0502
- Phone Number
- 207-622-4062
- Fax Number
- 207-622-4062
License Information
- License Number
- ME#MT6
- License State
- ME
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ida M Gammon-Wilson, LMT, CBT?
The NPI number of Ida M Gammon-Wilson, LMT, CBT is 1629090519. It was assigned on July 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Ida M Gammon-Wilson, LMT, CBT?
Ida M Gammon-Wilson, LMT, CBT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number ME#MT6.
Where does Ida M Gammon-Wilson, LMT, CBT practice?
The practice location is 690 Maine Ave, Farmingdale, ME 04344-1539. The office can be reached at 207-622-4062 (phone) or 207-622-4062 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629090519 directly on the NPPES registry website.