Organization Active NPI

Aj Management LLC

Doing business as Healing Soul Spa

  • Massage Therapist
  • Mitchell, SD
National Provider Identifier
1417764333
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AJ MANAGEMENT LLC
Doing business as
Healing Soul Spa
Practice address
121 N Main St
Mitchell, SD 57301-3415
Phone
(605) 990-4100
NPI assigned
Dec 13, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Angela Jane Fillaus
Title
Spa Owner
Phone
(605) 769-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

121 N Main St
Mitchell, SD 57301-3415

Mailing address

PO Box 583
Mitchell, SD 57301-0583
Phone (605) 769-0121

Other names 1

  • Healing Soul Spa Doing business as

National Provider Directory

National Provider Directory

Locations

121 N Main St
Mitchell, SD 57301
Phone (605) 990-4100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1417764333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010583",
            "telephone_number": "605-769-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013415",
            "telephone_number": "605-990-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "FILLAUS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SPA OWNER",
        "authorized_official_telephone_number": "605-769-0121",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Soul Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.