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KETSARIN CHAIYANUT MMP
NPI 1356066401
Massage Therapist in Fort Walton Beach, FL

Active since October 10, 2022
348 MIRACLE STRIP PKWY SW UNIT 11, FORT WALTON BEACH, FL 32548(850) 716-9959 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Oct 10, 2022 (2 updates tracked since 2022).

About Ketsarin Chaiyanut Mmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETSARIN CHAIYANUT MMP (NPI 1356066401) is an individual massage therapist in Fort Walton Beach, Florida, licensed in Florida (MA98574) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1356066401
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKETSARIN CHAIYANUTCredential: MMP
Location Address348 MIRACLE STRIP PKWY SW UNIT 11Fort Walton Beach, FL 32548-5200
Mailing Address208 3rd St Se Unit GFort Walton Beach, FL 32548-7214 · (161) 975-3476
Phone(850) 716-9959
Sole ProprietorYes
Enumeration DateOctober 10, 2022
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1356066401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA98574
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
348 MIRACLE STRIP PKWY SW UNIT 11, Fort Walton Beach, FL 32548
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketsarin Chaiyanut's NPI number?

The NPI number for Ketsarin Chaiyanut is 1356066401. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Ketsarin Chaiyanut located?

Ketsarin Chaiyanut practices at 348 Miracle Strip Pkwy SW Unit 11, Fort Walton Beach, FL 32548. The listed phone number is (850) 716-9959.

What is Ketsarin Chaiyanut's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ketsarin Chaiyanut was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.