IndividualActive
Jenna Russell, PT, DPT, CLT
NPI 1750108510 · Physical Therapist · Inchelium, WA
Provider details
- NPI number
- 1750108510
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CLT
- Sex
- Female
- Sole proprietor
- No
- License
- PT61562602 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
39 Shortcut Rd
Inchelium, WA 99138
Phone: (509) 722-7064
Street-level locationGet directions
Mailing address
Po Box 242
Inchelium, WA 99138-0242
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.