Organization Active NPI

Soul Solace Massage LLC

  • Massage Therapist
  • Lakeville, MN
National Provider Identifier
1497687115
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOUL SOLACE MASSAGE LLC
Practice address
16372 Kenrick Ave # 120
Lakeville, MN 55044-3540
Phone
(612) 254-9008
NPI assigned
May 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Jocelyn Lee Swanson, LMTNPI 1568288082
Title
Owner
Phone
(612) 254-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

16372 Kenrick Ave # 120
Lakeville, MN 55044-3540

Mailing address

16372 Kenrick Ave # 120
Lakeville, MN 55044-3540
Phone (612) 254-9008

National Provider Directory

National Provider Directory

Locations

16372 Kenrick Ave
#120
Lakeville, MN 55044
Phone (612) 254-9008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1497687115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16372 KENRICK AVE # 120",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443540",
            "telephone_number": "612-254-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16372 KENRICK AVE # 120",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443540",
            "telephone_number": "612-254-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SOLACE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-254-9008",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.