Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ida M. Gammon-Wilson, LMT, CBT

Individual provider Massage Therapist · NPI 1629090519

Ida M. Gammon-Wilson, LMT, CBT is a Massage Therapist in Farmingdale, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2006
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

690 Maine Ave
Farmingdale, ME 04344-1539
Phone: (207) 622-4062
Fax: (207) 622-4062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence ME#MT6 (ME)

Record details

NPI number1629090519
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , CBT
Sole proprietorYes
NPI enumeratedJuly 23, 2006
Last updated in NPPESJuly 8, 2007

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