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:
Other - Suffix:
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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:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000557171100000X
WAPT00002016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q47852Medicare UPIN
WA8854565Medicare ID - Type Unspecified