Individual provider · Type 1 NPI
Ida M. Gammon-Wilson, LMT, CBT
Massage Therapist · Farmingdale, ME
NPI number
1629090519
Active
Practice location
690 Maine Ave
Farmingdale, ME 04344-1539
Fax (207) 622-4062
Mailing address
PO Box 502
Hallowell, ME 04347-0502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | ME#MT6 (ME) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Farmingdale
About NPI 1629090519
Ida M. Gammon-Wilson, LMT, CBT's National Provider Identifier is 1629090519, issued on Jul 23, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmingdale, ME. The record was last updated on Jul 8, 2007.