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SHELLY MARIE HENDERSON RMA
NPI 1396040077
Residential Treatment Facility, Physical Disabilities in Colbert, WA

Active since January 11, 2011
5612 E CARGILL LN, COLBERT, WA 99005(509) 238-4171 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shelly Marie Henderson Rma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY MARIE HENDERSON RMA (NPI 1396040077) is an individual residential treatment facility, physical disabilities provider in Colbert, Washington, licensed in Washington (249694) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1396040077
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameSHELLY MARIE HENDERSONCredential: RMA
Location Address5612 E CARGILL LNColbert, WA 99005-9110
Mailing Address5021 E Cargill LnColbert, WA 99005-9142 · (509) 238-4171
Phone(509) 238-4171
Sole ProprietorYes
Enumeration DateJanuary 11, 2011
✔ NPI 1396040077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in WA · 249694
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

5612 E CARGILL LN, Colbert, WA 99005
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Henderson's NPI number?

The NPI number for Shelly Henderson is 1396040077. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Shelly Henderson located?

Shelly Henderson practices at 5612 E Cargill Ln, Colbert, WA 99005. The listed phone number is (509) 238-4171.

What is Shelly Henderson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Shelly Henderson was last updated on January 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.