Individual provider · Type 1 NPI

Ketsarin Chaiyanut, MMP

Massage Therapist · Fort Walton Beach, FL

NPI number 1356066401 Active

Practice location

348 Miracle Strip Pkwy SW Unit 11
Fort Walton Beach, FL 32548-5200

Call (850) 716-9959 Map

Mailing address

208 3rd St SE Unit G
Fort Walton Beach, FL 32548-7214

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA98574 (FL)

Massage Therapist: 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.

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About NPI 1356066401

Ketsarin Chaiyanut, MMP's National Provider Identifier is 1356066401, issued on Oct 10, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 27, 2023.