Meet our Physical Therapists — Three Rivers Physical Therapy

Rachael Herynk, DPT

**(she/her)**
Rachael has been providing pelvic health physical therapy since graduating from the University of Montana in 2011. She enjoys helping people with pelvic pain, incontinence, constipation, and pregnancy.

Professional development & certifications

Earned the Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic) from the American Physical Therapy Association’s (APTA) Academy of Pelvic Health
Pregnancy & Postpartum training through the APTA Academy of Pelvic Health and Herman and Wallace Pelvic Rehabilitation Institute
Pediatric Pelvic Floor training through the APTA Academy of Pelvic Health and Herman and Wallace Pelvic Rehabilitation Institute

Accomplishments & Community Involvement

Recipient of Nora Staael-Evert Professional Achievement Award
Student Coordinator of the University of Montana’s Student Run Wellness and Rehabilitation Clinic
Former advocate with the YWCA of Missoula
Volunteer helping children participate in therapeutic horseback riding

Tara Pfeifer, DPT, CLT

**(she/her)**
Tara graduated from the University of Montana School of Physical Therapy and Rehabilitation Sciences in 2017 with her doctorate degree. She has completed a variety of courses for advanced pelvic floor training. She is passionate about treating all areas of pelvic floor dysfunction including pelvic pain, urine and fecal incontinence, prenatal and postpartum conditions. She has also pursued certifications and advanced training in lymphedema and oncology.

Professional Development & Certifications

Advanced training in Pelvic Health through Herman and Wallace Pelvic Rehabilitation Institute (1, 2A, 2B, Bowel Pathology and Function)
APTA and MAPTA member of Pelvic Health Section since 2014
Currently pursing Pelvic Rehab Practitioner Certification (PRPC) and Women’s Health Specialist Certification (WCS)

CLT certified through Norton School of Lymphatic Therapy.

Accomplishments & Community Involvement

Former member of the Helena Sports Medicine Journal Club, including a presentation on the Female Athlete Triad to health care professionals
Presented to expectant mothers on activity during pregnancy and postpartum recovery as part of prenatal class series
Presented to health club members about pelvic floor function during exercise Completed field coverage for injury prevention and diagnosis of acute injuries as part of medial support team for local soccer tournament Former tutor Anatomy and Physiology and presenter on health-care careers (Carroll College)

Hannah Fouts, DPT

**(she/her)**
Hannah graduated as a Doctor of Physical Therapy from the University of Montana in May, 2023. She has worked with patients from all walks of life throughout her clinical rotations and is particularly passionate about pelvic health. Her priority is to provide the highest quality of patient-centered care for people of all genders, races, ages, and abilities to enable her patients to reach their goals.

Professional Development & Certifications

Female Pelvic Floor training through Herman and Wallace Pelvic Rehabilitation Institute
Running Injuries and Rehab Through The Lifespan training
Training on providing trauma-informed care
Maternal and Child Health training

Accomplishments & Community Involvement

Recipient of AAUW Scholarship for promoting gender equity in healthcare
Presented to Montana VA on improving health outcomes for female veterans
Volunteer for Fit To Fight, local group promoting physical activity for cancer survivors

Holly Warner, DPT

(she/her)
Holly received her Doctorate in Physical Therapy from the University of Montana in 2014. She specializes in orthopedics and sports rehabilitation, post-operative rehabilitation, treating running related injuries/overuse injuries, and management TMJ dysfunction/jaw pain.
She has taken advanced courses in running gait analysis and treating the injured runner. Her treatment philosophy is exercise based with an emphasis on patient education and restoring normal movement patterns and load capacity, so patients are able to return to the activities they enjoy.
Holly enjoys trail running, hiking, skiing, cooking, and spending time with her family.

Jessie Perry, DPT

(she/her)
Jessie graduated with a Doctorate of Physical Therapy from the University of Montana in 2015. She specializes in treating female pelvic floor dysfunction including pelvic pain, urinary incontinence, and peripartum conditions. She is committed to providing personalized care, with a focus on empowerment, trust, and a supportive environment for each patient’s journey toward recovery.

Professional Development & Certifications

Advanced training in Pelvic Health through Herman and Wallace Pelvic Rehabilitation Institute (1, 2B)
Pregnancy/Postpartum, Menopause, and Nutrition training through Herman and Wallace Pelvic Rehabilitation Institute
Intramuscular Stimulation (dry needling) training

Accomplishments & Community Involvement

Recipient of Nora Staael-Evert Professional Achievement Award
Former Eagle Mount Adaptive Recreation

Make a Wish Volunteer
YMCA youth basketball coach

Nikki Johnsen, PT, DPT, CSCS

(she/her)
Nikki graduated as a Doctor of Physical Therapy from the University of Montana in May 2026. She specializes in the treatment of female pelvic floor dysfunction including urinary incontinence, pelvic pain, and prenatal/postpartum conditions. She is passionate about creating individualized treatment plans that focus on restoring strength and mobility, so patients are able to return to the activities and sports they enjoy. Outside of the clinic, Nikki enjoys spending time with her family, listening to live music, and doing gymnastics.

Professional Development & Certifications

Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association
Advanced training in Female Pelvic Health through APTA Academy of Pelvic Health (Level 1)

Marlesa Moore, DPT, CMTPT/DN

(she/her)
Marlesa graduated from the University of Montana Physical Therapy and Rehabilitation Sciences in 2013 with her Doctorate of Physical Therapy. She has participated in a wide variety of manual therapy courses and has advanced training with certification in the treatment of myofascial pain both manually and with myofascial trigger point dry needling (TPDN). She is passionate about helping anyone through any walk of life, with more recent special interest in pelvic floor rehabilitation and functional medicine.
Marlesa’s treatment specialties include treatment of the cervical spine, migraines/headaches, thoracic spine and scapulothoracic regions, and the sacroiliac joint. Some of Marlesa’s passions outside of the clinic are spending quality time with her family, running, strength training, doing hot yoga/pilates, and golfing.

Professional Development & Certifications

Advanced training and certification in Myofascial Trigger Point Dry Needling through Myopain Seminars (certification in 2021, courses in 2016, 2017, 2021, and 2026)
Evaluation, Diagnosis, and Treatment of Running-Related injuries
Integrative Manipulative Therapy of the Spine Functional Soft Tissue Mobilization Sound Assisted Soft Tissue Mobilization (SASTM, Graston-like treatment with instruments)