“This isn’t exactly what I was expecting when coming to physical therapy.” A comment I hear frequently from past and current patients. I assure you, all meant in a positive way. Admittedly my passion and focus of Therapeutic Somatic Processing (TSP),™ a blend of somatic (mind-body connection) and pelvic floor therapies, often feels like quite the diversion from the traditional medical model. This process of TSP™ centers upon a few foundational components, that you are actually the most knowledgeable about your own body, you are integral to the healing process, and that your pain or discomfort is often based upon the internal, unseen connection between emotions and physiology.

My role as your provider then becomes one of facilitator, educator, and supporter, as opposed to a practitioner that you are reliant upon. Together we collaborate to create a plan of care that will give you the tools to manage and mitigate your symptoms and pain. This will look drastically different for every single person that walks through my door, and is by no means a quick fix, but it ultimately will replace the sense of hopelessness with control.

My journey into this methodology has been winding and adventurous. I didn’t begin here, and I certainly didn’t know where I would end up, but I am incredibly passionate and unwavering in my belief that is the future of healthcare. This work combines learnings from a vast array of educational sources such as human sexuality and somatic sex education with emphasis on trauma and gender, neurobiology/neuroscience of chronic pain, Somatic Experiencing Therapies and Internal Family Systems, pelvic floor physical therapy, and other mind-body approaches.

At my core I am a total nerd, who will geek out endlessly over my field, especially subjects of anatomy and neuroscience. However I also have a carefree spirit with a first career, and continued love, for dance and theater. There is less time to explore those hobbies these days as I am also a mom to two kids who keep life incredibly fun, but sleep deprived.

Please note that if you are looking to schedule with me I no longer perform traditional and regular manual therapy of the global body and/or pelvic floor. I will include some manual therapy with TSP methodology, when it feels appropriate in both your body and my own, however if you are seeking this type of regular care, I highly suggest reading through the bios of my other wonderfully skilled providers to see who feels like the best match to your needs.

Credentials:
- Doctorate in Physical Therapy (DPT) from the University of Washington, Seattle, WA
- Doctorate in Human Sexuality (DHS) from the Institute for the Advanced Study of Human Sexuality, San Francisco, CA
- Board certified sexuality specialty from the American College of Sexologists (ACS)
- Pelvic floor training under my mentor Kathe Wallace (equivalent to Herman & Wallace or APTA Levels I-III pelvic floor coursework)
- Certified as a Sexological Bodyworker from the Institute of Somatic Sexology in Australia
- Continuing Education Focus: Somatic Sex Education from the Institute for the Study of Somatic Sex Education in Vancouver Island, BC Canada; Clinical Applications of Internal Family Systems (online; please note Dr. Fiacco is not a licensed mental health practitioner as is the common practice for this type of therapy route); Neurobiology and neuroscience of chronic pain

How many times have you left a doctor’s appointment feeling completely defeated? How many times have you felt anxiety prior to seeing a new provider because you know you have to tell your story all over again? For me, both have been countless. I can’t promise to rid any anxiety before coming to see me, but I do promise to listen and work with you to come up with a plan to allow you to feel more in control of your body and its functions. 

Healing and recovery are personal journeys, and as your provider, I'll tailor a plan of care based on your lifestyle and unique needs. I also recognize the innate power dynamic that is present during medical appointments and therefore will emphasize consent every step of the way by communicating clearly and asking permission for touch via words or signals. While I may suggest exercises or other interventions during treatment, I don’t expect them to be treated as “homework.” Healing is a partnership, so we'll work together to find what works best for you both in and out of the office. My treatment philosophy is that everything is connected and even small symptoms can be a clue, so I encourage you to share everything with me and I offer that if I don’t have the answer, I will do my best to invest in finding the answer. 

Whether you’re struggling with pelvic pain, incontinence, pelvic organ prolapse, or another issue, I’m dedicated to empowering you throughout every step of your healing journey. In treatment, I often use manual therapy, cupping, exercises, pain neuroscience education, and occasionally will utilize dry needling, a technique that targets muscle trigger points with thin needles to reduce pain and tension. Together, we'll work toward your goals to bring you to your highest level of function.

Originally from Richmond, Virginia, I received my Bachelors of Science in Health Sciences at James Madison University in Virginia and graduated with my Doctorate in Physical Therapy at High Point University in North Carolina. When I’m not in the clinic, you can find me exploring the PNW with my partner and our puppy, Rue, or baking a fresh loaf of sourdough bread. With a passion for empowering patients to take an independent role in their care and healing, I am excited to bring my knowledge and dedication to TPHC while learning from my patients and fellow practitioners. Let’s unravel the mystery together and unlock your path to healing!

I’m passionate about creating a welcoming and supportive experience and helping patients feel comfortable from their very first interaction with the clinic.

With a background in office operations, coaching, and wellness education, I bring both organization and warmth to my work. I’m also a certified yoga teacher and currently pursuing a master’s degree in organizational psychology. In everything I do, human connection remains at the heart of it all. I believe that feeling seen, understood, and supported can make a meaningful difference in people’s lives, and I strive to bring that approach to my work each day.

At the heart of everything I do is a belief that strong communities are built through communication, trust, and genuine human connection. I value collaboration, kindness, and mutual respect, and I look forward to getting to know you and supporting your experience at the clinic. Whether I’m helping coordinate appointments, answering questions, or improving processes behind the scenes, my goal is to create a smooth, welcoming, and supportive experience at every step. I also genuinely welcome feedback and suggestions that help us continue to grow and serve our community well.

Outside of the clinic, I enjoy spending time in nature, practicing yoga, making music, and connecting with my community. In my free time, I love paddle boarding on Lake Union, weekend camping trips, and attending local music festivals.

I look forward to being part of each patient’s journey and helping make their experience with the clinic as smooth, comfortable, and positive as possible. Next time you’re in the office, I’d love for you to stop by and say hello! My office is located to the left at the top of the stairs.

I am a firm believer that our bodies are our original homes. They story our relationship to pain and pleasure, isolation and connection, grief and joy. I am here to help facilitate and hold non-judgmental space for interrelation, presence and ultimately your own autonomous healing and empowerment.

I am a curious and empathetic bodyworker, but also a friend in the unknowing. During our sessions, unexpected feelings and needs might arise that guide our work together, and I am here to listen. Since each of our bodies and the stories within them are wholly unique, no session will ever be exactly the same. You can expect each treatment to be tailored to your individual needs, desires, and concerns. Whether you are looking for therapeutic pain relief from chronic illness, therapeutic relaxation, assisted stretching, or if you are working through an injury, I incorporate a variety of techniques best suited for your wellness. Some of the modalities I utilize include deep tissue, myofascial release, Swedish, cupping, as well as neuromuscular and craniosacral therapies. This type of mixed modality work feels slow and intuitive and inherently helpful in regulating the nervous system.

You know your body best. Your autonomy and agency are paramount in our sessions. I will always follow your lead and offer the best support I can, within my scope of practice. Consent and communication are crucial in our time together. Prior to every session, I do a thorough intake to build a holistic understanding of you as a person, the feelings you might be bringing in with you, and how you hope to feel after. I have a big laugh and deeply cherish connection in our time with each other. It is an honor to do this work, and I look forward to collaborating with you.

Victoria is a certified SPRe Somatic Educator and Bodyworker as well as a certified GYROTONIC and GYROKINESIS trainer. She has been teaching embodied practices in New York and Seattle since 2004, including contemporary and classical dance, improvisation, somatic writing and artmaking.

Victoria’s work begins with anatomy understood as an interconnected fascial system where all the parts affect one another. From there she layers how emotional and historical patterns also shape our moving, feeling bodies. She will work with you to create language that accurately expresses your own body’s sensations/emotions. This process can help you make more sense to yourself and feel equipped to speak and act on your needs, wants and desires. The bodywork is our way of attuning to the sensations of your tissue, as well as updating your structure to match your emotional understanding. SPRe Somatic Education and Bodywork creates dynamic and lasting shifts in the way you move and interact in the world.

There is nothing she loves more than coming to understand your story as your body speaks. She approaches each client with gentle, abundant curiosity about how your body is communicating your history, your feelings, your ambitions, and your blocks. Structural anatomy is the blueprint for all of our work, whether it's movement-based rehabilitation, or emotionally intelligent bodywork. She is always working with all the parts of you.

“I believe that movement is life, and where there is flow there is pulsation, abundance, creativity and growth. Where there is tension or a lack of movement, there is information about our experience. “

Dr. Natalie Wong’s journey towards supporting others in their health and wellness began in Vancouver, BC, where she discovered the profound impact of chiropractic care from a young age. Through her own encounters with sports injuries, car accidents, and post-surgery rehabilitation, chiropractic care became integral to her healing. Dr. Wong’s early encounters with chiropractic care drives her dedication to offering personalized treatment, as understanding each patient's distinct needs is at the core of her practice.

Her goal for care is to empower patients with the knowledge of their bodies, enabling them to recognize signs when something isn't aligned. Dr. Wong aims to guide patients towards self-reliance in understanding their body's signals and fostering an active engagement in their own path to wellness.

Dr. Wong has a special interest in women’s health, prenatal and postpartum care, and pediatrics.

Nicole Bratt (she/her) is a C-IAYT certified yoga therapist and E-RYT 500 yoga teacher specializing in practices that slow the pace, deepen self-awareness, and support the nervous system. With 1300+ hours of advanced yoga therapy training under Robin Rothenberg and teaching certifications from Yoga Tree San Francisco, she draws from the Iyengar, Hatha, Restorative, Viniyoga, and Yoga Nidra traditions. Her work also incorporates complementary modalities—physical therapy principles, Feldenkrais, massage, personal training, and mindfulness—to shape exploratory practices that foster functional movement and build resilience.

Nicole primarily serves women in perimenopause or menopause, older adults, busy professionals and parents, and individuals living with chronic or terminal illness. With more than a decade of teaching experience, she offers private sessions, group classes, specialized workshops, retreats, and occasional teacher trainings. She holds additional credentials as a Relax & Renew® Advanced Trainer with Judith Hanson Lasater, NASM-certified personal trainer, and Reiki Level I practitioner. Known for her warm, compassionate presence, she offers a supportive, non-judgmental space for people to reconnect with their innate, embodied wisdom.tion text goes here

Sybil Besheer, LMHC, is an integrative psychotherapist whose aim is to facilitate a person's capacity to listen, feel, express, and respond to parts of self that are currently lost or stuck. She helps folks unwind the knots or blocks that result from wounds/trauma through embodied grounding and movement, creative expression, curious exploration, play, and step-by-step psychoeducation. She works with adults, adolescents, and inner children.

I am a Naturopathic Physician that specializes in all things related to a healthy and vibrant sexuality, as well as a Certified Community Health Education Specialist with an emphasis on LGBTQ+ issues.

I have been a sex geek for as long as I can remember. I think touch and pleasure are critically important and often overlooked areas of our health and vitality. I have always been that friend where people felt comfortable sharing about their sex lives, so it was a natural extension for me to offer this professionally. Many providers get little to no training in sex medicine, so people live their lives without solutions to why sex isn’t working well for them. Some of the conditions I treat include: menopause and andropausal symptoms, chronic pelvic pain, interstitial cystitis/chronic prostatitis, erectile dysfunction, Peyronie’s disease and dermatological condition of the vulva. I primarily work with members of the LGBTQ+ community, as well as kinky, polyamorous, queer and other sexual minority populations.

My philosophy of medicine puts me in a unique crossroads between conventional medicine and all that holistic hippy stuff! Too often, I have seen medical doctors deliver sloppy medicine in their 7-minute appointment times, a time frame that pretty much only allows drug prescribing and is at high-risk for errors. Likewise, I have been nauseated by seeing patients leave their naturopath’s office with thousands of dollars worth of supplements with questionable efficacy. And on both sides, I have seen patients blamed and shamed and had their diagnoses taken out of context of society at large. Inequalities, discrimination and the determinants of health cannot be ignored when developing each individual’s treatment plan. I use the best of conventional medical science, integrate natural modalities whenever justified and practice informed consent if my recommendations venture into experimental territory. My treatment plans are incremental, reasonable, tailored to you, compassionate and often times, fun!

In addition to being a physician and a health educator, I am an eight-time participant of Burning Man, an ecstatic dancer and a devoted spouse. I identify as a queer, kinky woman who is the proud parent of two young children, both of whom are being raised in a gender-neutral fashion (until they tell us otherwise, of course!). When I am not with patients, I am often found playing in the woods. 

My pronouns are either she/her or they/them.

Carey is a certified Somatic Sex Educator and a long-time consent educator. Carey works with individuals, couples, and communities for the last 10 years to embody consent culture as an antidote to individual and collective sexual trauma and neglect. In Carey’s work, she reminds clients that accessing our own pleasure is critical for our healing. Carey believes in a world with less sexual harm, more choice, more safety, and more erotic aliveness.

Carey works with all genders and all genital configurations and supports clients in consent & communication, getting in touch with pleasure as a healing force, setting life-serving boundaries, letting go of shame, and increasing erotic embodiment. Carey utilizes somatic coaching, client-guided touch, and intuitive ritual to co-create sessions that meet each person where they are on their journey to sexual wholeness.