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Your Trusted Physical Therapy Partner in Missoula
Three Rivers Physical Therapy, located in Missoula, Montana, specializes in pelvic floor health, lymphedema management, oncology rehabilitation, and general orthopedics. Our team of five experienced clinicians brings over 20 years of combined expertise in treating pelvic floor dysfunctions, with advanced training across multiple sub-specialties. We prioritize collaborative care, integrating ongoing education and research to deliver personalized treatment plans tailored to each patient's unique needs.

Our clinicians have completed more than 20 advanced courses, establishing us as regional experts in pelvic health and rehabilitation. Through a commitment to continuous learning and evidence-based practices, we empower patients to achieve optimal recovery and improved quality of life.
Services
Pelvic Floor Therapy Lymphedema Treatment Oncology Rehabilitation Orthopedic Physical Therapy Speech Therapy
Highlights and features
  • We have 20+ years combined experience in pelvic floor dysfunction treatment
  • Our clinicians hold advanced certifications in pelvic health and oncology rehab
  • Specialized sub-specialties address complex patient needs
  • Collaborative team approach ensures comprehensive care
  • Regional experts with ongoing participation in professional education
What people say
Eliminated urinary leakage Very attentive Productive sessions Extremely kind Successful PT experience
Services
Pelvic Floor Therapy
Specialized treatment for pelvic floor dysfunctions including urinary incontinence, pelvic pain, and postpartum recovery. Our clinicians provide individualized care using evidence-based techniques for conditions like diastasis recti and gender-affirming care. With advanced training in pelvic health, we help patients restore normal function and improve quality of life through targeted interventions.
Lymphedema Treatment
Certified lymphedema therapy addressing fluid accumulation and swelling management. Our specialists use manual lymphatic drainage and compression techniques to treat post-surgical swelling, particularly for cancer patients. This comprehensive approach helps reduce swelling, prevent complications, and improve mobility through personalized treatment plans.
Oncology Rehabilitation
Post-cancer treatment recovery programs focusing on mobility restoration and symptom management. We address treatment side effects including lymphedema, weakness, and range-of-motion limitations. Our therapists work closely with oncology teams to develop safe, effective rehabilitation plans that support patients throughout their recovery journey.
Orthopedic Physical Therapy
Comprehensive treatment for musculoskeletal injuries and post-surgical recovery. Our approach combines manual therapy, exercise programs, and patient education to restore function after orthopedic injuries. Specialized expertise in running injuries and sports rehabilitation helps patients return to their desired activity levels safely.
Speech Therapy
Specialized services for speech, language, and swallowing disorders. Our speech-language pathologist addresses conditions including dysphagia, vocal cord dysfunction, and neurogenic communication disorders. Evidence-based interventions help patients improve communication abilities and manage swallowing difficulties following neurological events or cancer treatments.
People
Maria Iles
Physical Therapist
Doctor of Physical Therapy with 14 years of experience specializing in pelvic health, lymphedema, and oncology rehabilitation. Holds multiple advanced certifications and has served as Clinical Instructor of the Year at the University of Montana.
Rachael Herynk
Physical Therapist
Pelvic health specialist since 2011 with advanced training in pregnancy/postpartum care and pediatric pelvic floor therapy. Recipient of professional achievement awards and former student clinic coordinator at the University of Montana.
Tara Pfeifer
Physical Therapist
Pelvic floor specialist with advanced training in bowel pathology and women's health. Active presenter on prenatal fitness and former tutor in anatomy and physiology at Carroll College since 2017.
Hannah Fouts
Physical Therapist
Recent graduate with specialized training in pelvic health and trauma-informed care. Recipient of AAUW scholarship for gender equity in healthcare and volunteer with cancer survivor fitness programs since 2023.
Holly Warner
Physical Therapist
Orthopedic and sports rehabilitation specialist since 2014 with advanced running injury training. Focuses on exercise-based treatment and patient education to restore movement patterns and activity capacity.
Questions
What pelvic floor conditions do you treat?
We treat urinary incontinence, pelvic pain, diastasis recti, post-prostatectomy care, and gender-affirming pelvic health needs.
Do you accept insurance for physical therapy?
We recommend checking with your insurance provider about out-of-network physical therapy coverage details.
What makes your lymphedema treatment unique?
Our therapists hold specialized LANA-certified lymphedema training with focus on post-cancer swelling management.
How long are typical therapy sessions?
Initial evaluations last 60-90 minutes with follow-up sessions typically 45-60 minutes based on individual needs.
Can you help with postpartum recovery?
Yes, we specialize in postpartum care including return-to-sport training and diastasis recti rehabilitation.
Do you offer speech therapy for cancer patients?
Yes, we provide specialized oncology speech therapy for swallowing disorders and voice changes following cancer treatment.