IndividualActive
Shelly Henderson, RMA
NPI 1396040077 · Physical Disabilities Residential Treatment Facility · Colbert, WA
Provider details
- NPI number
- 1396040077
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- RMA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 249694 (WA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5612 E Cargill Ln
Colbert, WA 99005-9110
Phone: (509) 238-4171
Street-level locationGet directions
Mailing address
5021 E Cargill Ln
Colbert, WA 99005-9142
Registry dates
- Enumerated
- 2011-01-11
- Last updated
- 2011-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.