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

Bill 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. 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.

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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.

Kate 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 board certified Orthopaedic Clinical Specialist (OCS) by the American Board of Physical Therapy Specialties and a graduate of the Sacred Heart University Orthopaedic Physical Therapy Residency Program.

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. She continued to work as a faculty member in the Orthopaedic Physical Therapy Residency Program until 2016. Currently, she is an adjunct faculty at Arcadia University, serving as an in-clinic mentor to Orthopaedic Physical Therapy Residents in our Lebanon clinic. <More>

Kate serves as our Director of Staff Development and Clinical Education, overseeing our mentorship program for new clinicians, serving as a mentor to Residents, and leading our clinical education program.

A lifelong equestrian, Kate was captain of the SHU Women’s Equestrian Team (Division 1), competing in the hunt seat discipline. She enjoys treating a wide variety of musculoskeletal diagnoses and body regions, with particular interest in treatment of the winter sports and equestrian athletes across the lifespan.

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

Ruth 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.
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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, 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 spearheaded the opening of the Grantham clinic in 2018 where she currently practices. She 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>

Becca and her family can often be seen on the Eastman lake and golf course where they enjoy spending time running, hiking, kayaking and skiing.

Anna 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.

Anna’s true passion is working with patients on ergonomics and overall health in their workplace. <More>

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. She currently practices out of the Grantham clinic. Outside of work, she has become a runner and enjoys outdoor activities including tennis, swimming, and hiking.

Zachary 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.
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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.

Zac 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 therpy practice.

Outside of the clinic Zac has completed multiple obstacle course races such as tough mudders and Spartan races. He earned the Spartan trifecta in 2018. He also enjoys fishing, snowboarding, running, biking, wake boarding, kayaking/canoeing, and hiking with his Wife and dog.

Emily 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.
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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 Reilly, 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.” In addition, she became a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association in June of 2016.

Marissa has practiced as a licensed athletic trainer for several years in both CT and NJ, and spent a summer working on the University of Virginia sports medicine team. <More>

She has covered a variety of sports as an athletic trainer, but her primary sports have been hockey and lacrosse. She had a very unique final clinical experience as a PT student working with athletes in the NFL Combine training program in California, and also has experience treating Navy Seals and both active-duty military and veterans.

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. Her passion for physical therapy began when she sustained several ankle and shoulder injuries in her sports. She enjoys working with all sorts of conditions, but has a particular love for ACL repairs, shoulder injuries and surgical repairs, ankle/foot injuries, and concussion rehabilitation. Her treatment approach involves helping patients to understand their condition and promoting self-management, all the while completing functional and challenging activities with a fun and sport-specific emphasis

Outside of the clinic, Marissa enjoys being outdoors. She lives in Vermont and enjoys skiing, snowmobiling, hiking, kayaking, paddle-boarding, playing volleyball, traveling, trying new beers and wines, and spending time with her friends, family, husband, and dog.

Justin Walker, PT, DPT

Physical Therapist

Justin completed his Doctorate of Physical Therapy at the University of Massachusetts-Lowell in 2018. In recognition of outstanding patient care across varied clinical settings, he received a Clinical Excellence award from the Department of Physical Therapy. Prior to this he graduated with Honors from the University of New Hampshire with a Bachelor of Science in Exercise Science in 2014. While at UNH, Justin completed his honors thesis using data he collected from a research project estimating lactate threshold in recreational runners.

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Justin is currently seeking additional certification as an Orthopedic Clinical Specialist, and as part of this is completing an Orthopedic Residency program through Arcadia University. This program is composed of online coursework, lab based instruction, and on site mentoring covering all components of the musculoskeletal system. Justin is passionate about treating patients of all ages from pediatrics to geriatrics, as well as competitive and recreational athletes. He was drawn to Cioffredi & Associates by the wholistic approach to patient care, and utilizes the additional services available to help return patients to their optimal state of health. When not in the clinic Justin enjoys spending time cooking and baking, homebrewing beer, and visiting local breweries. He also stays active outdoors while running, biking, swimming, and waterskiing.

Taylor Daley, PT, DPT

Physical Therapist

Taylor joined the Cioffredi team in August 2018. Originally from Illinois, she has a Bachelor of Science in Kinesiology from the University of Illinois at Urbana-Champaign, and a Doctorate in Physical Therapy from Midwestern University. She traveled all over the country for her clinical rotations, and presented a final capstone project and journal article on the role of physical therapy in rehabilitation for inflammatory myopathy, a rare degenerative muscular disorder.

Taylor enjoys treating a wide variety of musculoskeletal injuries. She is experienced in treating vestibular disorders, concussions, and neurological diagnoses, as well as working with patients to improve their balance. <More>

Taylor lives in the Upper Valley with her partner and two rescue dogs. In her free time, she enjoys hiking, trail running, skiing, practicing yoga, and traveling.

Personal Training & Health Coaching

Richard 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.

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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

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 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.

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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.

Sadie currently lives in Windsor, VT with her husband Otavio. She enjoys kayaking, swimming, and snowshoeing with her husband and spending time with her family and friends.

Matt Harrington, LMT

Massage Therapist

Matt Harrington is a graduate of the River Valley Community College Massage Therapy Program. He is a New Hampshire licensed Massage Therapist and a current Associated Bodywork and Massage Professionals (ABMP) Certified member.

Prior to joining Cioffredi & Associates Matt worked with Dartmouth College’s Peak Performance program providing sports massage to student athletes and was an intern at DHMC in the Inpatient Oncology Department providing massage for patients.

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Matt customizes each session to your individual needs to provide treatment for medical conditions, injuries, or wellness maintenance. He specializes in sports and therapeutic massage using deep tissue and myofascial release techniques along with stretching of muscles and soft tissues. He also provides prenatal massage, relaxation (Swedish) massage for stress relief and improved wellness, and hydrotherapy utilizing hot and cold packs or hot stones to relieve discomfort and pain, stimulate the flow of blood and lymph, and make connective tissue easier to stretch.

In his spare time Matt enjoys reading, cooking and spending time with his family and friends.

Nutrition & Health Counseling

Amy 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.

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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.

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.

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, and kayaking. She also has a love of adventuring on four wheelers, dirt bikes, snowmobiles and jet skis.

Jessie Franklin

Client Care Coordinator

Jessie started as part of the Front Office team August 1st, 2018. Jessie graduated from Newport High School in 2006 and moved on to earn her bachelors in Human Services from Granite State College. She had worked for 8+ years as a preschool teacher, but also has extensive history working in client support positions and customer service. Jessie lives in Claremont with her partner and two fur-children, Meatball and Gadget. In her spare time, Jessie enjoys traveling, photography, and painting.

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.

Claudia Boutin

Rehab Aide

Claudia is an Upper Valley native who graduated form Lebanon High School in 2014 and recently received a Bachelor of Science degree at Plymouth State University (2018). During her time at Plymouth State University, she took courses based on a pre-medical track in hopes to pursue a future career as a physicians assistant. She also worked as an employee in the gym at PSU, where she helped students become familiar with equipment, exercises, and fitness programs. She enjoys helping people and found interests in medicine including anatomy and physiology, clinical pathology, and histology.

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Claudia grew up in Lebanon, NH and played numerous sports including gymnastics, field hockey, and basketball from elementary school through high school. She currently lives on Eastman Lake in Grantham, NH with her golden retriever pup named Hazel. Claudia enjoys going for walks around the lake with Hazel, travelling, and eating a new restaurants.

Jake Porter

Rehab Aide

Jake grew up travelling in a military family. He then settled in northern New York where he earned his Bachelor’s Degree in Biology from SUNY Plattsburgh. Most of Jake’s professional career has been in sales and customer service. He uses these skills to provide a comfortable and enjoyable environment for the patients. Working with Cioffredi and Associates has inspired Jake to pursue further education in a Master’s of Public Health program in the Spring of 2019. When not at work he likes to spend his free time enjoying the outdoors or playing in any number of intramural sports.