Our Team

Our Clinical Staff offer a wide range of expertise and are here to help you achieve your goals. Get to know the Cioffredi Team:


Physical & Occupational Therapy

Billy Cioffredi, PT, FounderBill Cioffredi, PT

Founder & Physical Therapist
Bill graduated from the University of Pennsylvania in 1979 with a degree in Physical Therapy. He has extensive experience in orthopedic and sports rehabilitation, with areas of special interest including the spine, ankle & foot disorders, headaches, TMJ dysfunction, and injuries related to the fine arts.

Bill played football growing up and through college where he played at the Division 1 level. It was his interest in biomechanics and physiology that led him into the PT profession. “Through my involvement in sports I had an interest in the physiology and biomechanics of how the body worked. As part of my participation in the Shrine game we went and visited the kids at the children’s hospital in Springfield, Mass. It was a very positive experience that left a lasting impression on me and was an influence in my decision. <More>

While playing football at the University of Pennsylvania I interacted with the athletic trainers who were also duel degree physical therapists. Some had second jobs working at local hospitals and I did a number of hours of volunteer work with them. My older sister is also a physical therapist, and at that time was working in the athletic department at the University of Delaware. Between all of that I became very certain about what I wanted to do.”

Bill started his career at Dartmouth Hitchcock Medical Center where he met his wife Ruth. Together they opened Cioffredi & Associates in 1985. As a CEO, Bill is fully committed to ensuring that all patients at the clinic have a positive total experience.

In 2012 Bill received his certification in Trigger Point Dry Needling (TDN), which uses solid filament needles, like those used in acupuncture, to target trigger points deep within the muscle. TDN is an additional tool that Bill uses in his care, when appropriate, to help lengthen and loosen tight muscles. Outside of the office he enjoys running, hiking and skiing. Bill resides in Lebanon, New Hampshire with his wife, Ruth.

Marsha Wykes, PT, OCS, Cert. MDT

Clinical Director, Physical Therapist

Marsha graduated with a degree in Physical Therapy from the University of Minnesota in 1995. She is a board certified Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. This advanced certification requires a minimum of 2,000 hours of direct patient care in orthopaedic physical therapy practice. To date there are just over 7600 physical therapists with the OCS designation, and only 29 clinicians with this designation in the state of New Hampshire. Marsha is also certified through the McKenzie Institute USA in Mechanical Diagnosis and Treatment of the spine (Cert MDT).

A lifelong athlete, Marsha began swimming competitively at age 5. She went on to swim at Junior Olympics, age-group nationals, and eventually Division I at the University of Minnesota where she was a member of the travel squad.

She competed in long distance (500, 1000, mile) freestyle, as well as 200 butterfly, and 400 IM (individual medley). Marsha assistant-coached an age-group swim team in California and was a head coach for a high school swim team in Missouri. In the past she has dabbled in running, competing in 5k and 10k races, a ½ marathon, and trail racing. She has also completed sprint, Olympic, and Intermediate distance triathlons, Warrior dash obstacle races, and natural bodybuilding.Marsha has focused her work primarily in outpatient orthopaedics with an emphasis on sports and spine injuries and post-surgical rehabilitation. She takes a biomechanical approach to care with an emphasis on re-education of proper movement patterns through balancing strength, flexibility, joint mobility and motor control. Marsha believes that “patient education is extremely important to successful outcomes. If a patient doesn’t understand how and why treatment strategies work, then I haven’t done my job.” As Clinical Director at Cioffredi & Associates, Marsha oversees all of our Clinical Staff to ensure that patient care continues to be of the excellent quality that we are known for.

Marsha lives in the Upper Valley Area with her daughter Rya, and son Easton. In her free time she enjoys running and cooking.

Ruth Cioffredi, Occupational Therapist and Team Co-FounderRuth Cioffredi, OTR/L

Occupational Therapist

Ruth graduated from the University of New Hampshire in 1981 with a degree in Occupational Therapy and a minor in psychology. She specializes in hand therapy, treating painful problems of the hand, wrist, and thumb. Ruth was a charter member of the American Society of Hand Therapists. Her involvement in hand therapy spans over 25 years, during which time she has been instrumental in the design and development of hand clinics with surgeons. She also spent eight years as an Associate Professor in the Occupational Therapy Assistant Program at River Valley Community College. She started her career at Dartmouth Hitchcock, where she met her husband Bill, and in 1985 they opened Cioffredi & Associates.

Ruth describes her treatment philosophy as eclectic, drawing from a variety of techniques based on the symptoms a person presents with. She uses manual therapy, along with therapeutic exercise and patient education to enable her patients to handle future symptoms they might encounter after being discharged from OT. Ruth also helps patients to incorporate principles into their daily routine that will help to reduce stress or irritation of the tissues that contribute to their symptoms. She also uses static, dynamic, and static progressive splinting, along with serial casting when needed to complement treatment.
Ruth’s interests include spending time with family, running, skiing and hiking. Ruth resides in Lebanon, New Hampshire with her husband, three daughters, and son.

Rebecca Swope, Physical Therapist and Team MemberRebecca Swope, PT, MSPT, OCS

Physical Therapist

Originally from Northeast Ohio, Becca moved to the Upper Valley in 2011 from Chicago to be closer to family and outdoor activities.  She received a Master of Science in Physical Therapy from Cleveland State University in 2006. Prior to grad school she obtained a Bachelor of Science in Biology from the University of Vermont in 2003, where she was also a member of the women’s crew team for 3 years.

Becca enjoys treating a wide variety of conditions, including post-operative, sports injuries and chronic conditions.  She is trained in trigger point dry needling and Graston technique in addition to having received extensive manual therapy training.  <More>

She currently enjoys spending time running, hiking, kayaking and skiing with her family.  Becca and her family can often be seen on the Eastman lake and golf course.

Kate Leiser, Physical Therapist and Team MemberKate Leiser, PT, DPT, OCS

Physical Therapist

Kate holds a Doctorate in Physical Therapy (2007) as well as a Bachelor of Science in Exercise Science (2005) from Sacred Heart University. She is a graduate of SHU’s Orthopaedic Physical Therapy Residency Program, a highly competitive and intensive year of advanced study post-doctorate.

Kate is a board certified Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties. This advanced certification requires a minimum of 2,000 hours of direct patient care in orthopaedic physical therapy practice. To date there are just over 7600 physical therapists with the OCS designation, and only 29 clinicians with this designation in the state of New Hampshire.

Kate, who practiced at Cioffredi & Associates from 2009-2011, returned to our staff in 2013 after spending two years as a Clinical Faculty member in the Doctoral Program in Physical Therapy at Sacred Heart University. Kate’s primary responsibilities at SHU included teaching Musculoskeletal Evaluation & Intervention across all orthopaedic semesters, serving as a faculty member and mentor in the Orthopaedic Physical Therapy Residency Program, and practicing in Sacred Heart’s faculty practice, Sacred Heart University Physical Therapy Specialists.

A lifelong equestrian, as an undergraduate she was captain of the SHU Women’s Equestrian Team (Division 1). She enjoys treating a wide variety of musculoskeletal diagnoses and body regions. Her treatment philosophy is to provide patient-centered, evidence-based care, and she has particular interest in treatment of the winter sports athlete across the lifespan. At Cioffredi & Associates Kate serves as our Coordinator of Clinical Staff Development, overseeing our mentorship program for new clinicians and helping all staff to hone their clinical skills.

She lives in the Upper Valley with her husband Brad. In her free time she enjoys snowboarding, skiing, cycling, running, and horseback riding.

Anna Hecker, Physical Therapist and Team MemberAnna Hinman, PT, DPT, CEAS

Physical Therapist

Anna received her Doctorate in Physical Therapy from Sacred Heart University in Fairfield, Connecticut in May of 2013. While in school, she completed her capstone presentation on “Ergonomics and Low Back Pain.” Prior to graduate school, Anna received a Bachelor of Science in Applied Exercise Science from University of New England in Biddeford, Maine. Anna has experience working with many different populations including high school and collegiate athletes, pre-natal and post-partum, vestibular, and concussion. <More>

Anna’s true passion is working with patients on ergonomics and overall health in their workplace. Her treatment philosophy is to provide individualized care that is patient-centered and incorporates a variety of treatment approaches to better serve the patient and return them to their prior level of function. Anna joined Cioffredi & Associates as a student in January of 2013, then as a clinician in November 2013. Outside of work, she has become a runner and enjoys outdoor activities including tennis, swimming, and hiking.

Zachary Gardner, Physical Therapist and Team MemberZachary Gardner, PT, DPT, OCS

Physical Therapist

Zac received his Bachelor of Science in Kinesiology from the University of Rhode Island in 2013. He then went on to graduate Magna Cum Laude from Franklin Pierce University earning his Doctorate of Physical Therapy in 2016.

Growing up Zac was an avid baseball player, playing three seasons a year from the time he was 8 years old through high school. As he grew as an athlete he developed a strong interest in learning more about the biomechanics of baseball and how the body works. When he sustained an ankle injury that required physical therapy, he knew he had found his life’s calling.

Zac, who joined our practice in May of 2016, was attracted to Cioffredi & Associates because of the variety of services that are offered to take clients beyond rehab. When treating orthopedic and sport injuries Zac enjoys utilizing a functional approach and manual therapy techniques to achieve the patient’s desired goals. Due to his love of baseball, Zac has a special interest in treating shoulder and throwing injuries.

Outside of the clinic Zac enjoys fishing, snowboarding, running, biking, wake boarding, kayaking/canoeing, and hiking with his Wife and dog.

Emily Milbank, PT, DPT Physical TherapistEmily Milbank, PT, DPT, CSCS

Physical Therapist

Emily graduated with her Doctorate of Physical Therapy from the University of Vermont in May 2016. Prior to attending graduate school, she obtained a Bachelor of Science in Biological Sciences in 2015 while competing as a four-year member of the UVM Varsity Women’s Soccer team. In addition to her physical therapy training, Emily became a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association in June of 2012.

After recovering from an ACL injury during her collegiate career, Emily experienced firsthand the benefits of physical therapy. Her passion for athletics and personal experience with injury inspired her to pursue her interest in exercise and rehabilitation. She uses an evidence-based, integrated approach to treatment, combining manual therapy techniques, exercise prescription, and functional activities to help her patients achieve their goals.

In addition to treating musculoskeletal injuries, Emily also has an interest in treating concussion, vestibular, and neurologic diagnoses. When not in the clinic, Emily continues to be involved in coaching youth soccer in the Burlington, Vermont area. She enjoys running, hiking, traveling, and spending time with family and friends.

Marissa Harper, Physical Therapist at Cioffredi & AssociatesMarissa Harper, PT, DPT, ATC, LAT, CSCS

Physical Therapist

Marissa received her BS in Athletic Training and Sports Medicine from Quinnipiac University in 2014, and then continued on to receive her Doctorate of Physical Therapy in September 2017 with a distinction in inter-professional healthcare. She completed her doctoral capstone research titled, “Biomechanical Performance during Cutting Activities in Athletes following ACL Reconstruction.”

Marissa practiced as a licensed athletic trainer for many years in CT and NJ, and spent a summer working on the University of Virginia sports medicine team. She has covered a variety of sports as an athletic trainer, but her primary sports have been high school and college hockey and lacrosse. She had a unique final clinical experience working with the NFL Combine program, and has experience treating Navy Seals and patients in the military. <More>

She became a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association in June of 2016.

Growing up, Marissa spent the majority of her time involved in sports. She played softball her entire life and throughout high school, and supplemented that with volleyball and racing on her high school ski team.  She knew she wanted to be a physical therapist when she sustained several ankle and shoulder injuries related to the nature of her sports. She has a passion for ACL repairs, labral/SLAP repairs, and concussion rehabilitation. She thoroughly enjoys helping patients complete functional and challenging exercises, while incorporating fun and sport-specific activities into each program.

Outside of the clinic, Marissa enjoys skiing, working as a ski instructor, snowmobiling, hiking, kayaking, paddle-boarding, traveling, and spending time with her friends and family.

Aoi Marsit WEBAoi Marsit, ATC

Rehabilitation Aide

A native of Ichihara City, Japan, Aoi moved to the United States at the age of 15 to attend Wyoming Seminary College Preparatory School where she was introduced to the field of sports medicine through her active participation in varsity athletics. Her fascination with human anatomy and physiology and passion for sports led her to complete the Bachelor of Science degree in Athletic Training at Marywood University, graduating Summa Cum Laude in 2010.

Aoi is a Certified Athletic Trainer and joined the team at Cioffredi & Associates after working for a physical therapy practice in Boston, specializing in work with performing artists. Her work with the team and patients of Cioffredi & Associates continues to deepen her appreciation of the human body and its ability to heal and perform.

Anna Rench, Rehab Aide and Front Office StaffAnna Rench

Rehabilitation Aide

Anna graduated from the University of Connecticut in 2017 with a Bachelor of Science in Biological Sciences and a minor in psychology. She is hoping to get her Master of Science in Occupational Therapy in the next few years. After discovering a passion for science in high school, Anna has been interested in healthcare and found rehabilitation to be the best fit. At UConn, Anna was a coxswain for the UConn Men’s Crew team for three years where she worked with athletes every day. Anna grew up locally and is a graduate of Hartford High School. In her free time she enjoys reading, skiing, and spending time with her friends and family.


Personal Training & Health Coaching

Richard Hackett WEBRichard Hackett, BS, CSCS, ASCM EPC, NSCA CPT

Personal Trainer & Rehabilitation Aide

Richie is a graduate of Lyndon State College with a Bachelor’s of Science in Exercise Science with a concentration in Pre-Professional Physical Therapy. He is a Certified Strength and Conditioning Specialist and Personal Trainer through the National Strength and Conditioning Association, and a Certified Exercise Physiologist through the American College of Sports Medicine.

Richie comes to Cioffredi & Associates with experience in strength and conditioning, outpatient physical therapy, wellness programming for middle aged and senior individuals, and senior group fitness classes.

Richie grew up in Northern Vermont where he competed on his high school basketball, soccer, and track and field teams. During his senior year of high school he completed an anatomy and physiology course that sparked his interest in exercise and health leading him to attend Lyndon State College’s Exercise Science program. When working with clients Richie’s major motives are to create exercise programs based upon the client’s goals and aspirations, and to create a fellowship with each individual.

Adam Dutille, BS, ACSM CPT

Adam Dutille

Personal Trainer & Rehabilitation Aide

Adam received his Bachelor of Science degree in Athletic Training from the University of New England, graduating Cum laude in 2017. After graduation, Adam became a Certified Personal Trainer through the American College of Sports Medicine. Prior to his schooling at UNE, Adam attended Mascoma High School where he participated in many sports including soccer, basketball and baseball. With a passion for athletics and interest in movement and physiology, he knew that a profession in the healthcare/fitness industry would be the perfect fit.

In Adam’s free time he enjoys fishing, snowboarding, playing softball, weight lifting and spending time outdoors with his friends and family.



Massage Therapy

Sadie Broadly WEBSadie Broadley, LMT

Massage Therapist

Sadie is a graduate of the River Valley Community College Massage Therapy Program. Prior to studying massage, Sadie earned a Bachelor of Science degree from Simmons College where she studied a Pre-Physical Therapy Curriculum. She is a New Hampshire licensed Massage Therapist and a current Associated Bodywork and Massage Professionals (ABMP) member.

Prior to joining Cioffredi & Associates she worked in a spa setting, and also as an intern at DHMC in the Inpatient Oncology Department providing massage for patients.

Sadie is passionate about Massage Therapy and combines her knowledge of the human body, biomechanics, and muscular dysfunction, with a positive and professional manner. Sadie utilizes a variety of techniques to customize her session to your individual needs. She enjoys giving therapeutic massage, and working with hot stones to further loosen the muscles. She also enjoys providing relaxation massage, either for expectant mothers, or those needing a softer touch.

In her spare time, Sadie enjoys reading, cooking, swimming, biking and hiking.

Elena Borriello, Licensed Massage Therapist

Elena Borriello, LMT

Massage Therapist

Elena is a graduate of the River Valley Community College massage program who hails from Massachusetts, where she grew up playing sports. “I was always involved in sports, and loved a good competition.” Growing up she played softball, basketball, and field hockey. She continues to stay active, and is a self-proclaimed Cross Fit fanatic. Her interest in healthy living led her into the health care field.

Elena first came to our clinic as a student, for one of her clinical rotations. She liked the multidisciplinary approach that we offered our clients, and this enticed her to join us as a staff member after she passed her massage licensing exam. Elena loves helping others with their personal recovery needs, and improving their overall health.

Nutrition & Health Counseling

Amy Tuller WEBAmy Tuller, RD, LD, CDE

Registered Dietitian & Certified Diabetes Educator

Amy is a Registered Dietitian and Certified Diabetes Educator with over 25 years of experience helping people to maintain optimal health and performance through nutrition. She received her Bachelor of Science degree in Foods & Nutrition from the State University of New York at Plattsburgh, and completed her dietetic internship at Beth Israel Hospital in Boston.

Amy specializes in helping people of all ages design personalized nutrition plans to prevent or manage chronic diseases, food allergies and intolerances, improve sports performance and maintain vitality.

She enjoys teaching classes as well as working with clients individually. Amy works one-on-one with her clients to assess their lifestyle, goals, motivation and barriers, then helps them to develop an individualized plan for success.

“As a distance runner in high school and college, I knew that my diet had a big influence on my athletic performance. I was curious to figure out how. This is how I chose nutrition as my career.”

Amy’s annual travel to Italy and France influenced her study and practice of nutrition, from a Mediterranean lifestyle perspective, where food is revered and people take time to enjoy life over a delicious meal with family and friends. When not working, Amy enjoys being a Mom, doing just about anything outdoors, traveling, and enjoying good food with family and friends.


Michele Boutin

Client Care Representative and Health Coach

As the Client Care Representative, Michele ensures that all clients of Cioffredi & Associates get what they need and want from their care and that their experience with us is of the highest quality.

Michele has been practicing as an Integrative Health Coach in the Upper Valley for the past 10 years, specializing in immune system and GI wellness and has, recently, added Personal Cheffing to her services. As a Freelance Writer in the field of Integrative Health, Michele’s pieces have been published in: Upper Upper Valley Parent’s Paper, HEAL, Kids Stuff, Kearsarge, and Upper Valley Life Magazine.

Her passions span from recipe development, cooking and baking, educational/teaching/demo cooking parties, along with writing and traveling.

Administrative Staff

Amy Hayward

Chief Executive Officer

Amy joined Cioffredi & Associates in 2006 after six years in the sports business field. She graduated from Springfield College in Springfield, MA with a Bachelor’s Degree in Sports Management. Amy is a Lebanon native but now resides in Grantham, NH with her husband, three children, and two hound dogs.  In her downtime she enjoys golfing, playing soccer with the kids, and cooking.

Amy served as our Administrative Director before being promoted to CEO in January 2015.

Matt Goodell

Marketing & Public Relations Coordinator

Matt received his BS in Marketing from the University of Connecticut in 2011 and has a background working in Project Management, Curriculum Development, and Communications. He brings these skills to Cioffredi & Associates, where he designs and manages the distribution of all of our multimedia promotional materials.

Matt grew up in Bangor, Maine, where he cultivated his love for all things active and outdoors. In 2016, he moved to the Upper Valley, and now lives in Wilder, VT with his wife and two cats. In his spare time, Matt enjoys cooking, reading, hiking, camping, soccer, board games, and skiing.


Cindy Wright WEBCindy Wright

Client Care Coordinator, Billing Assistant

Cindy joined Cioffredi & Associates in 2008. She comes to us from a varied background, most recently an outpatient clinic in Arizona. She has also owned her own business, worked in a marketing department, a school district office and the front office of her church. Each position was centered around teamwork and customer service. Her husband, Charlie, has a career that has led her and their three children across the U.S. This has given them the opportunity to experience different cultures and make friends they value as true blessings to their family. They consider their move to Lebanon in 2007 one of the best for what the area has to offer for events, activities and education.

Jamie O’Keefe

Client Care Coordinator

Jamie grew up in the Upper Valley, and attended Mascoma High School. Prior to joining our staff in the summer of 2015, Jamie worked in a variety of customer service positions. She has a strong love of animals, and hopes to further her education in the veterinary field at some point. Jamie has two children, and in her spare time enjoys hiking, biking, kayaking. She also has a love of adventuring on four wheelers, dirt bikes, snowmobiles and jet skis. 

Jessica Okeefe WEB

Jessica O’Keefe

Billing Specialist

Jessica graduated from Mascoma Valley High School in 2007 with high honors. In 2009 she received her license to be a nursing assistant from Dartmouth Hitchcock Medical Center. She worked for DHMC for two years as a LNA/ Medical Secretary in the Intensive Care Unit as well as the Birthing Pavilion. Before starting at Cioffredi & Associates, Jessica’s background consisted of customer service, front office/reception, and running her own daycare business. In her free time she enjoys spending time with family and friends, outdoor activities, and traveling.