Active NPI
Anjeliq A McClung, LMT
- Massage Therapist
- Rapid City, SD
National Provider Identifier
1679487482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT12229
- Practice address
- 140 North St
Rapid City, SD 57701-1247 - Phone
- (605) 484-0706
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT12229 | SD | Primary |
Addresses
Primary practice location
140 North St
Rapid City, SD 57701-1247
Mailing address
140 North St
Rapid City, SD 57701-1247
Phone (605) 484-0706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT12229 | SD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisu Spa LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1679487482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NORTH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011247",
"telephone_number": "605-484-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NORTH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011247",
"telephone_number": "605-484-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "ANJELIQ",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SD",
"license": "MT12229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.