Provider Demographics
NPI:1548484736
Name:CHESAW WEST PLLC
Entity type:Organization
Organization Name:CHESAW WEST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PT LAC
Authorized Official - Phone:206-546-0249
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:206-533-8719
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC0000057171100000X
WAPT00001031225100000X
WAPT00002016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8854563Medicare ID - Type Unspecified