Jade Mountain Wellness

Organization Active NPI Acupuncturist · Burlington, VT

NPI 1972943199 · NPPES record last updated Jul 2, 2013

Key facts

NPI
1972943199
Entity type
Organization (NPI type 2)
Primary specialty
Acupuncturist 171100000X
Legal business name
JADE MOUNTAIN WELLNESS
Practice address
1 Mill St
Suite 305
Burlington, VT 05401-1530
Phone
(802) 399-2102
NPI assigned
Jul 2, 2013
Organization subpart
No

Authorized official

Name
Brendan Kelly, L. AC.
Title
Acupuncturist, Co-Owner
Phone
(802) 399-2102

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1 Mill St
Ste 305
Burlington, VT 05401
Phone (802) 399-2101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X 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

All providers in Burlington, VT · Acupuncturist in Vermont

Sources for this page

Verify at the official NPI Registry.