Ida M Gammon-wilson, LMT, CBT | |
690 Maine Ave, Farmingdale, ME 04344-1539 | |
(207) 622-4062 | |
(207) 622-4062 |
Full Name | Ida M Gammon-wilson |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 690 Maine Ave, Farmingdale, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629090519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | ME#MT6 (Maine) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ida M Gammon-wilson, LMT, CBT Po Box 502, Hallowell, ME 04347-0502 Ph: (207) 622-4062 | Ida M Gammon-wilson, LMT, CBT 690 Maine Ave, Farmingdale, ME 04344-1539 Ph: (207) 622-4062 |
Alecia Lorance, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Hasson St, Farmingdale, ME 04344 Phone: 207-624-2513 | |
Katherine Gonneville, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Hasson St, Farmingdale, ME 04344 Phone: 207-446-4664 |