Jade Trade Inc.

NPI #1578753836 in Portland, Maine

Provider Information

NPI Number: 1578753836
Entity Type: Organization
Organization Name: Jade Trade Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 1, 2007
Last Updated: Sep 18, 2025

Practice Location

Address: 1023 WASHINGTON AVE
City: Portland
State: Maine
ZIP Code: 04103-2793
Phone: (207) 773-5778

Authorized Official

Name: KESIA CAMPBELL
Title: BILLING SPECIALIST
Phone: (207) 747-5746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Massage Therapist	225700000X
Physical Therapist	225100000X	Primary

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