Jennifer Tilley
Rehabilitation Administrative Assistant
Idaho State University – General Business courses

Jennifer began in the medical field in 1997 and has provided medical practice management support for a variety of medical specialty and primary care practices in the Pacific Northwest.  She joined Snoqualmie Valley Hospital District May 2007.

One of her passions in life is helping others–especially those with special needs. People perceive the world around them in different ways.  Some see it as a warm, friendly place while others see it as threatening when they are injured. Our mission is to give people hope through therapy. It is very satisfying to see the transition to the path of physical health and security in recovery. In her free time, Jennifer enjoys gardening, hiking, camping, traveling and spending time with family.


Kris Cernak, PT, DPT, MPH 
Physical Therapy

Kris received her BSPT from the University of California San Francisco in 1990 and completed a post-professional doctorate at Boston University in 2006. She also has a Master of Public Health degree from UCLA. Kris has over 20 years experience working with complex patients with neurologic, orthopedic, oncologic, post transplant and other diagnoses. She worked as a home health therapist in the Snoqualmie Valley for ten years and still serves the Echo Glen Children’s Center through Providence Home Services. She is a Certified Clinical Instructor for physical therapy interns and taught for several years to doctoral students in the University of Washington Physical Therapy Program. Kris is the first author of an article that appeared in the January 2007 edition of the Journal of the American Physical Therapy Association. She enjoys working with all kinds of patients, but has a particular passion for high level balance activities and gait retraining after neurologic events such as CVA and TBI. She treats BPPV and enjoys working with patients with other types of vestibular disorders. Kris is very interested in prevention and treatment of concussions in sports and other populations.


Fauzia Karmali, RPT, CMPT, Certified Lymphedema Therapist
Physical Therapy

Fauzia graduated from McGill University in Montreal Canada in 1996 with a BSC in Physical Therapy. She is a certified Manual Physical Therapist (CMPT) and specializes in the following skills and techniques including:
– Core stabilization and re-training post injury
– Neck, thoracic and lumbar spine stabilization using neuro-muscular stabilization and re-patterning
– Muscle energy techniques, soft tissue/deep tissue release
– Pre and post-partum education and health for moms
– Sports specific training, post-op joint replacement rehab
– Taping techniques using McConnell approach to unload joints and for realignment
– Ergonomic training for back to work
– Lymphedema Treatment, manual lymph drainage and compression bandaging

Her goals are to provide personalized care to each individual based on their needs. She incorporates stabilization into every joint and functional activity to prevent future injuries. She has an extensive background in a variety of settings and likes to focus on core stabilization combined with manual therapy to integrate the body as a whole.

Her interests outside of work include: co-leading her daughter’s Girl Scout Troop, coaching and playing soccer, camping, reading, baking with her girls and traveling the world.


Tim Huber, MPT
Physical Therapy

Tim is a graduate of the University of Montana, where he earned a Masters degree in Physical Therapy. Prior to that, he was an Exercise Science major at the University of Alaska, Fairbanks. He also holds a Bachelor of Fine Arts degree in Industrial Design from the University of Washington. He has worked in neurological rehabilitation and has postgraduate training in orthotics and biomechanics. He spends some of his free time designing sports and therapy equipment.

Tim likes to spend time outdoors; running with his dogs or riding his horse. He also enjoys painting. He has found his strengths in Geriatrics, chronic pain management, acute injury and orthotics.


Wendy Waterval-Van Ooyen
OTR, Occupational Therapist

Wendy graduated with a Masters in Occupational Therapy degree from the University of Washington’s School of Rehabilitation Medicine. Her postgraduate training focused on neuro-rehabilitation and Pediatrics. She has completed continuing education in hand   therapy, manual therapy, kinesio taping and Handwriting without Tears™. Wendy worked at Bellevue School District prior to joining Snoqualmie Valley Hospital. Wendy currently serves on the executive board of the Washington Occupational Therapy Association as Budget and Audit Chair.

Her treatment approach is to perform a functional assessment of each patient and prescribe a treatment plan that is specific to his or her needs. She enjoys working with all ages and conditions.


James Scussel, MA, OTR/L, FAOTA
Rehabilitation Director
Occupational Therapy

Jim Scussel, Rehabilitation Director and Occupational Therapist, is a graduate of the Occupational Therapy Program at Eastern Michigan University and received his master’s degree from The University of Michigan.  He has worked in a variety of clinical settings, including acute care hospitals, critical access hospitals, school systems, long-term care and national consulting in rehabilitation programming.  He was an Assistant Professor at Virginia Commonwealth University for eight years, serving in many capacities with the American Occupational Therapy Association professional organization. He was made a Fellow of that association for his contributions to the advancement of occupational therapy practice.


Britney Varhley, MA, CCC-SLP
Speech Therapy

Britney Varhley is a Certified Speech-Language Pathologist who graduated with a Master’s degree from Idaho State University. She has worked at Snoqualmie Valley Hospital since 2011 and enjoys the patient-focused and community oriented work environment. Her background includes serving patients with communication, cognition, swallowing and voice deficits resulting from stroke, traumatic or anoxic brain injury. Her passion is working with post-stroke patients to improve their communication and swallowing abilities. She has a specialty certification in VitalStim® therapy for patients with dysphagia to improve their swallowing in order to advance their diets and nutritional status. Her goal is to help patients improve their communicative skills in order to express their ideas, wants and needs. She grew up in Montana and now lives in North Bend with her husband. She enjoys all the recreation opportunities of the Pacific Northwest.


Amanda Schaefer, PTA, LMP
Physical Therapy

Amanda Schaefer earned her Associates Degree in Physical Therapy from Macomb Community College and obtained her Massage License from Ananda Massage School. Her career began as a “traveling therapist,” allowing her the opportunity to work her way across the U.S. in various settings such as acute cardio-pulmonary recovery, pediatric and adult neuro/physical rehabilitation and outpatient orthopedic physical therapy before settling in the Seattle area. She is passionate about helping others achieve greater mobility with decreased musculoskeletal pain by blending advanced John Barnes Myofascial Release techniques with functional exercise, stretching and postural awareness. She enjoys snowboarding, hiking and exercising with her Pet Partner Therapy Dog, Sprite.