Jade Mountain Wellness, Inc.
Organization Active NPI Acupuncturist · Burlington, VT
NPI 1699197103 · NPPES record last updated Jan 17, 2014
Key facts
- NPI
- 1699197103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- 0910000151 (VT)
- Legal business name
- JADE MOUNTAIN WELLNESS, INC.
- Practice address
- 1 Mill St
Suite 305
Burlington, VT 05401-1530 - Phone
- (802) 399-2102
- NPI assigned
- Jan 17, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Brendan Kelly, L. AC,
- Title
- Acupuncturist
- Phone
- (802) 399-2102
Practitioners 1
-
Brendan Kelly, L. AC.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 0910000151 | VT | Yes |
Addresses
Primary practice location
1 Mill St
Suite 305
Burlington, VT 05401-1530
Mailing address
1 Mill St
Suite 305
Burlington, VT 05401-1530
Phone (802) 399-2102
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.