Organization
JADE TRADE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESIA CAMPBELL (BILLING SPECIALIST)
(207) 747-5746
Entity
Organization
Contact information
Practice address
1023 WASHINGTON AVE, PORTLAND, ME 04103-2793
(207) 773-5778
(207) 773-5773
Mailing address
1023 WASHINGTON AVE, PORTLAND, ME 04103-2793
(207) 773-5778
(207) 773-5773
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC200
ME
225100000X
Physical Therapist
Primary
PT2432
—
225700000X
Massage Therapist
MT1458
ME
Other
Enumeration date
08/01/2007
Last updated
09/18/2025
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