Dr. Serena Fiacco, DPT, DHS, ACS

Dr. Fiacco is a licensed physical therapist and board certified sexuality specialist. She holds a Doctorate degree in physical therapy from the University of Washington and a Doctorate degree in human sexuality from the Institute for the Advanced Study of Human Sexuality. Dr. Fiacco specializes in the treatment of pelvic floor and sexual health conditions. Her practice encompasses an integrative style of evaluation and treatment techniques such as joint mobilization, massage, exercise and evaluation of functional motion, movement education, sexual health education and talk therapy, and exercises for body awareness through breath, movement, or meditative type activities. 

In addition to Dr. Fiacco's clinical practice, she teaches sexual health courses to the community and university groups. Recent presentations have included:

  • "Talking Sex for the Health Care Professional" - University of Washington Department of Rehabilitation Medicine
  • "Sexual Function & Sexual Dysfunction" with Tim Quigley, MPH, PA-C - MEDEX Northwest, University of Washington School of Medicine
  • "Coming Out Kinky" - The Center for Sex Positive Culture (CSPC)
  • "Navigating Your Sexual Health and Relationships," "Male Sexual Health & Reproduction as Related to Age" - Wenatchee Valley College
  • “Sexuality Counseling for the Licensed Mental Health Worker" - Susan Evans Counseling

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Kathe Wallace, PT, BCB-PMD

Kathe Wallace has practiced physical therapy since 1976, focusing on pelvic floor rehabilitation since 1988. As a nationally recognized leader in the pelvic floor specialty of physical therapy, she evaluates and treats many types of conditions referred to her by medical specialists in orthopedics, physical medicine and rehabilitation, urology, gynecology, gastroenterology and colorectal surgery.

She have served as the Washington state representative for the Section on Women's Health of the American Physical Therapy Association (APTA). In 2006, she was honored to receive the state physical therapy association (PTWA) Clinical Excellence Award.

Since 1990, Kathe has been involved in the national and international training of professionals interested in evaluation and treatment of the lumbopelvic girdle and pelvic floor muscle problems. More information available here.


Ryan Simmons, DPT

With over a decade of health care experience in a wide range of settings, Dr. Ryan Simmons is uniquely positioned as a truly integrative clinician. She holds a Doctorate in Physical Therapy, along with, having practiced as an independent Massage Therapist in Chicago. While much of Ryan’s career has been spent treating typical orthopedic conditions, she has always had a particular clinical interest in Women’s Health, Male Pelvic Pain, and Medical Therapeutic Yoga. Her care philosophy is rooted in the belief that keen observation, active listening, and hands-on discovery are vital to successful intervention and the return of a patient to their highest level of function. When not at work, Ryan spends most of her time wrangling her two children, working out at Orangetheory, improving her yoga practice, participating in community activism, or having dinner and drinks with her fabulous British husband.


  • Perinatal back, hip and pelvic pain and SI joint dysfunction
  • Medical Therapeutic Yoga
  • Manual Joint Mobilization
  • Active Tissue Release, Trigger Point Therapy, Nerve Mobilization
  • Lumbar Spine instability, Disc Herniation, Sciatica, Spondylolisthesis, post-op management
  • Hip Impingement, Bursitis, Labral tear
  • Neck Pain and Cervical Radiculopathy – nerve pain in the neck, shoulder, arm, and hand
  • Thoracic and Rib pain
  • BPPV and other peripheral vestibular dysfunction, dizziness, imbalance