Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketsarin Chaiyanut, MMP

Individual provider Massage Therapist · NPI 1356066401

Ketsarin Chaiyanut, MMP is a Massage Therapist in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

348 Miracle Strip Pkwy SW Unit 11
Fort Walton Beach, FL 32548-5200
Phone: (850) 716-9959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA98574 (FL)

Record details

NPI number1356066401
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMP
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address208 3rd St Se Unit G, Fort Walton Beach, FL 32548-7214

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