Provider Demographics
NPI:1245454453
Name:ARNETT, JAMES LARRY (PT LAC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LARRY
Last Name:ARNETT
Suffix:
Gender:M
Credentials:PT LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60241
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98160-0241
Mailing Address - Country:US
Mailing Address - Phone:206-546-0249
Mailing Address - Fax:206-535-8719
Practice Address - Street 1:835 NW 190TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2626
Practice Address - Country:US
Practice Address - Phone:206-546-0249
Practice Address - Fax:206-533-8719
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000557171100000X
WAPT00002016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q47852Medicare UPIN
WA8854565Medicare ID - Type Unspecified