Healthcare Provider Details

I. General information

NPI: 1548484736
Provider Name (Legal Business Name): CHESAW WEST PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 NW 190TH ST
SHORELINE WA
98177-2626
US

IV. Provider business mailing address

PO BOX 60241
SEATTLE WA
98160-0241
US

V. Phone/Fax

Practice location:
  • Phone: 206-546-0249
  • Fax: 206-533-8719
Mailing address:
  • Phone: 206-546-0249
  • Fax: 206-533-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC0000057
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00001031
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00002016
License Number StateWA

VIII. Authorized Official

Name: MR. JAMES LARRY ARNETT
Title or Position: OWNER
Credential: PT LAC
Phone: 206-546-0249