IndividualActive
Ketsarin Chaiyanut, MMP
NPI 1356066401 · Massage Therapist · Fort Walton Beach, FL
Provider details
- NPI number
- 1356066401
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA98574 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
348 Miracle Strip Pkwy Sw Unit 11
Fort Walton Beach, FL 32548-5200
Phone: (850) 716-9959
Approximate (ZIP-level) locationGet directions
Mailing address
208 3rd St Se Unit G
Fort Walton Beach, FL 32548-7214
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.