Healthcare Provider Details

I. General information

NPI: 1306331012
Provider Name (Legal Business Name): REFINED PHYSIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 EDMONDS ST
EDMONDS WA
98020-5094
US

IV. Provider business mailing address

316 7TH AVE N
EDMONDS WA
98020-3010
US

V. Phone/Fax

Practice location:
  • Phone: 425-200-4421
  • Fax: 855-595-1125
Mailing address:
  • Phone: 425-200-4421
  • Fax: 855-595-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALICIA MICHELLE FARROW
Title or Position: OWNER
Credential:
Phone: 425-200-4421