IOWA HIGH SCHOOL ATHLETIC ASSOCIATION LIST OF APPROVED BODY COMPOSITION ASSESSMENT METHODS AND PERSONNEL

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1 IOWA HIGH SCHOOL ATHLETIC ASSOCIATION LIST OF APPROVED BODY COMPOSITION ASSESSMENT METHODS AND PERSONNEL

2 IOWA HIGH SCHOOL ATHLETIC ASSOCIATION LIST OF APPROVED BODY COMPOSITION ASSESSMENT METHODS, *** BOD POD AIR DISPLACEMENT *** FUTREX NEAR-INFRARED PHOTOSPECTROMETRY MACHINES (ONLY THE FOLLOWING MODELS ARE PERMITTED) 5000 A/WL 5500 A/WL *** HYDROSTATIC WEIGHING *** SKIN FOLD MEASUREMENTS (ONLY HIGH QUALITY METAL ALLOY CALIPERS ARE ALLOWED) *** TANITA SCALES/BODY COMPOSITION ANALYZERS: (ONLY THE FOLLOWING MODELS ARE PERMITTED) TBF-300A - Using the STANDARD Mode ONLY TBF-300WA - Using the STANDARD Mode ONLY The personnel listed alphabetically by city on the following pages are available to perform body composition assessments on high school wrestlers. It is important to contact assessment personnel early to assure you can schedule assessment at a convenient time. 1

3 Organization: Bruhl Chiropractic Office Contact Person: Brad Bruhl, DC Mailing Address: 501 Main Street City: Ames Zip: Phone: Maximum Cost at School: $7 Maximum Cost at Agency: $7 Maximum Travel Distance: 30 miles Organization: Jones Regional Medical Center Contact Person: Emily Putney, LAT Mailing Address: 1795 Hwy 64 E City: Anamosa Zip: Phone: putneyemily@gmail.com Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 45 miles.6 Organization: Ankeny PT Powered by ARCT Contact Person: Pete Harder, LAT Mailing Address: 301 N Ankeny Blvd City: Ankeny Zip: Phone: pharder@arcpt.com 2

4 Organization: Naig Chropractic Contact Person: Jeremiah Naig Mailing Address: 225 SE Oralabor Rd Suite 7 City: Ankeny Zip: Phone: drjdnaig@gmail.com Organization: Bettendorf High School Contact Person: Eric Knudson, LAT Mailing Address: th Street City: Bettendorf Zip: Phone: eknudson@bettendorf.k12.ia.us Assessment Method: Futrex/Tanita/Skinfolds Organization: Pleasant Valley High School Contact Person: Jason Viel, LAT Mailing Address: 604 Belmont Road City: Bettendorf Zip: Phone: vieljason@pleasval.k12.ia.us 3

5 Organization: Bob Schertz, PT Contact Person: Bob Schertz, PT Mailing Address: Ridge Rd City: Blakesburg Zip: Phone: Assessment Method: Tanita Organization: Kincart Physical Therapy Services Contact Person: Brian Sharp, PT Mailing Address: PO Box 145 City: Bloomfield Zip: Phone: Maximum Travel Distance: 2 miles Organization: Boone Rehab Services Contact Person: Samantha Busch, ATC/LAT Mailing Address: 1015 Union Street City: Boone Zip: Phone: safrost4@hotmail.com Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles.5 4

6 Organization: Rick Davis, Professor, DMACC Contact Person: Rick Davis Mailing Address: PO Box 26 City: Boone Zip: Phone: Organization: BGM High School Contact Person: Corwin Stuart Mailing Address: 1090 Jackson Street City: Brooklyn Zip: Phone: Assessment Method: Tanita Maximum Cost at Agency: $8 Maximum Travel Distance: 40 miles.35 Organization: Universal Therapy Group Contact Person: Scott Leinbach, ATC Mailing Address: 2750 Mt Pleasant St City: Burlington Zip: Phone:

7 Organization: St. Anthony Regional Hospital Contact Person: Steve Schable, ATC/L Mailing Address: 311 South Clark Street City: Carroll Zip: Phone: Maximum Cost at School: $8 Maximum Cost at Agency: $8 Maximum Travel Distance: 49 miles.5 Organization: Cascade High School Contact Person: Jordan Oberbreckling, LAT Mailing Address: 505 Johnson St NW City: Cascade Zip: Phone: Organization: Cedar Valley Medical Specialists Contact Person: Pete Watters, ATC/LAT Mailing Address: 1015 Division Street City: Cedar Falls Zip: Phone:

8 Organization: Athletico Physical Therapy Contact Person: Hannah Okerberg, ATC/LAT, PTA Mailing Address: 1710 W. 1st St. City: Cedar Falls Zip: Phone: Maximum Travel Distance: 25 miles.54 Organization: Jefferson High School Contact Person: Suzi Guider, LAT Mailing Address: th Street, SW City: Cedar Rapids Zip: Phone: Organization: Kennedy High School Contact Person: Lynn Groth, ATC, LAT Mailing Address: 4545 Wenig Rd NE City: Cedar Rapids Zip: Phone:

9 Organization: Linn County Physical Therapy Contact Person: Kevin Lux, MPT, Mailing Address: th Street, NE City: Cedar Rapids Zip: Phone: Organization: Washington High School Contact Person: Katie Kimmich, ATC Mailing Address: 2205 Forest Drive, SE City: Cedar Rapids Zip: Phone: Organization: Center Point Urbana High School Contact Person: CaraLynn Scott, LAT Mailing Address: 145 Iowa Street City: Center Point Zip: Phone:

10 Organization: Tubaugh Family Chiropractic Clinic Contact Person: Brennen Tubaugh Mailing Address: 1114 N. Haynes Ave. City: Centerville Zip: Phone: Maximum Travel Distance: 20 miles Organization: Special Medical Services Corp. Contact Person: Bret Kruthoff, PT, PTC, ATC Mailing Address: th Street City: Charles City Zip: Phone: Maximum Cost at School: $4 Maximum Cost at Agency: $4 Maximum Travel Distance: 30 miles Mileage Rate: $ 4 Organization: Cherokee Regional Medical Center Contact Person: Jodi Schlichting, LAT Mailing Address: 300 Sioux Valley Drive City: Cherokee Zip: Phone: jschlichting@cherokeermc.org /Tanita 9

11 Organization: Clarinda Regional Health Center Contact Person: Molly Gilmore Mailing Address: 220 Essie Davison Drive City: Clarinda Zip: Phone: Assessment Method: Futrex Maximum Travel Distance: 30 miles Organization: Laube's Cutting edge Fitness llc Contact Person: Jason Laube Mailing Address: 5 Teamquest Way City: Clear Lake Zip: Phone: j_02_laube@hotmail.com Maximum Travel Distance: 50 miles.2 Organization: Clinton High School Contact Person: Kurt Flathers, LAT Mailing Address: 817 8th Ave, South City: Clinton Zip: Phone: kflathers@clintonia.org Maximum Cost at School: $6 Maximum Cost at Agency: $6 Maximum Travel Distance: 30 miles.39 10

12 Organization: Pinnacle Sport & Spine Clinic Contact Person: Jen Wiese Mailing Address: 2344 Camanche Ave City: Clinton Zip: Phone: Assessment Method: Futrex Maximum Cost at School: $5 Maximum Cost at Agency: $5 Organization: Dr. Brian Masonholder, DO Contact Person: Dr. Brian Masonholder, DO Mailing Address: 109 East Walnut Street City: Columbus Junction Zip: Phone: Maximum Travel Distance: 1 miles Organization: Performance Therapies, PC Contact Person: Molly Camacho, DPT Mailing Address: 3290 Ridgeway Drive, Suite 3 City: Coralville Zip: Phone: mcamacho@perfther.com Maximum Cost at School: $7 Maximum Cost at Agency: $7 Maximum Travel Distance: 40 miles.5 11

13 Organization: South Central Athletic Training Contact Person: Joel Petty, LAT Mailing Address: th Street City: Corydon Zip: Phone: Maximum Travel Distance: 60 miles.5 Organization: Methodist Jennie Edmundson Sports Medicine Contact Person: Dave Byrne, LAT, ATC Mailing Address: 900 Woodbury Avenue City: Council Bluffs Zip: Phone: Maximum Travel Distance: 50 miles Organization: Peak Performance Contact Person: Bobby Reisz, LAT Mailing Address: 1469 Abercorn Dr City: Council Bluffs Zip: Phone: Maximum Cost at Agency: $5 Maximum Travel Distance: 100 miles.5 12

14 Organization: Miller Orthopedic Specialists Contact Person: Joshua Bintz, PT, DPT Mailing Address: 1 Edmundsopn Place #500 City: Council Bluffs Zip: Phone: jbintz@millerortho.com Maximum Cost at School: $5 Maximum Travel Distance: 45 miles Organization: Greater Regional Medical Center Contact Person: Chris Leonard, LAT Mailing Address: 1700 West Townline St #3 City: Creston Zip: Phone: chrisl@greaterregional.org Assessment Method: Futrex Maximum Travel Distance: 50 miles.54 Organization: CNOS Contact Person: Brandon Marreel, LAT Mailing Address: 575 Sioux Point Road City: Dakota Dunes State: SD Zip: Phone: brandon.marreel@cnosfoundation.org.54 13

15 Organization: Ben Jobgen, PT Contact Person: Ben Jobgen, PT Mailing Address: 6316 Forest Rd City: Davenport Zip: Phone: Maximum Cost at School: $5 Maximum Travel Distance: 10 miles Organization: Davenport Central High School Contact Person: Steve Knoche, LAT, ATC Mailing Address: 1120 Main Street City: Davenport Zip: Phone: Assessment Method: Tanita Organization: Rock Valley Physical Therapy Contact Person: Julie Wunder, LAT, ATC Mailing Address: 626 W 53rd St City: Davenport Zip: Phone: julie.wunder@rockvalletpt.com 14

16 Organization: Davenport West High School Contact Person: Anthony Burke, ATC Mailing Address: 3505 West Locust Street City: Davenport Zip: Phone: Assessment Method: Tanita Organization: Winneshiek Medical Center Contact Person: Jessica Morken, MS, ATC Mailing Address: 901 Montgomery Street City: Decorah Zip: Phone: Maximum Travel Distance: 30 miles.5 Organization: Team Rehab, L.C. Contact Person: Steven Krieg, MPT Mailing Address: 516 Montgomery Street City: Decorah Zip: Phone:

17 Organization: Physiotherapy Associates Contact Person: Allison Klapperich, MS, LAT Mailing Address: 450 Laurel Street City: Des Moines Zip: Phone: Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles.5 Organization: Physiotherapy/Select Medical Contact Person: Melanie Mason, LAT Mailing Address: 450 Laurel Street City: Des Moines Zip: Phone: Organization: Hempstead High School Contact Person: Aurora Buschkamp, LAT Mailing Address: 3517 Pennsylvania Avve City: Dubuque Zip: Phone:

18 Organization: Dubuque Senior High School Contact Person: Ronda Humpal, ATC, LAT Mailing Address: 1800 Clarke Drive City: Dubuque Zip: Phone: Assessment Method: Tanita Organization: Wahlert Catholic High School Contact Person: Molly Pilcher MS, LAT, ATC Mailing Address: 2005 Kane Street City: Dubuque Zip: Phone: /Tanita Organization: North Scott High School Contact Person: Tom Lyons, LAT Mailing Address: 200 South 1st Street City: Eldridge Zip: Phone: /Tanita Maximum Cost at School: $5 Maximum Travel Distance: 20 miles 17

19 Organization: Kathryn Fassbinder, MS, RD/LD Contact Person: Kathryn Fassbinder Mailing Address: th Street City: Elgin Zip: Phone: Organization: Western Dubuque Community Schools Contact Person: Susan Thiesen, LAT Mailing Address: 302 5th Avenue, SE City: Epworth Zip: Phone: ext Organization: Helmich Chiropractic Clinic Contact Person: Nicholas Helmich, DC Mailing Address: 1820 Central Avenue City: Estherville Zip: Phone: Maximum Travel Distance: 30 miles 18

20 Organization: Iowa Lakes Community College Contact Person: Kyle Norris, MS, LAT Mailing Address: 300 S 18th St City: Estherville Zip: Phone: knorris@iowalakes.edu Maximum Travel Distance: 20 miles Organization: Medical Arts Clinic Contact Person: Michael Greiner, MD Mailing Address: 2000B South Main Street City: Fairfield Zip: Phone: mgreiner@medicalartsclinic.net Assessment Method: Tanita Organization: Forest City Chiropractic & Sport Clinic Contact Person: Jim Brockhohn, DC Mailing Address: 245 North Clark Street City: Forest City Zip: Phone: fcsports@wctatel.net Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 40 miles.5 19

21 Organization: Active Health Chiropractic Contact Person: Zach Mason, DC Mailing Address: nd Ave N City: Fort Dodge Zip: Phone: zmasondc@hotmail.com Maximum Travel Distance: 30 miles Mileage Rate: $ 2 Organization: Orthopedic Specialists Contact Person: Josh Seltz, ATC Mailing Address: st Ave S City: Fort Dodge Zip: Phone: jseltz9966@gmail.com Organization: Unity Point Health - Highland Park Center Contact Person: Michelle Mann, ATC Mailing Address: 821 S 25th Street City: Fort Dodge Zip: Phone: Michelle.Mann@unitypoint.org Maximum Travel Distance: 30 miles 20

22 Organization: Fort Madison Community Hospital Contact Person: Trevor Pezley, ATC Mailing Address: 5445 Avenue O City: Fort Madison Zip: Phone: tpezley@fmchosp.com Assessment Method: Tanita Organization: Wood Chiropractic Clinic Contact Person: Scott Wood, DC Mailing Address: 232 State Street City: Garner Zip: Phone: wooddc@hotmail.com Maximum Cost at School: $5 Maximum Travel Distance: 15 miles Organization: Total Rehab-Ortho. Contact Person: Jordan Vos, DPT/ATC Mailing Address: 234 West Street South, Southview Plaza #4 City: Grinnell Zip: Phone: jordan@totalrehab-pt.com 21

23 Organization: Grinnell Regional Medical Center Contact Person: Tom Gallo, PT Mailing Address: 210 4th Avenue City: Grinnell Zip: Phone: Maximum Cost at School: $5 Maximum Travel Distance: 2 miles Organization: Guthrie County Hospital Contact Person: Sheyrl Clark, PT Mailing Address: 710 North 12th Street City: Guthrie Center Zip: Phone: sheyrlc@gcho.org Maximum Travel Distance: 30 miles.54 Organization: Cornerstone Family Practice Contact Person: Dr. Jeff Hoffmann, DO Mailing Address: 200 Main Street City: Guttenberg Zip: Phone: jeffrey.hoffmann@guttenberghospital.org Maximum Travel Distance: 25 miles.56 22

24 Organization: Koenen & Collins Chiropractic Clinic Contact Person: Dr. James Koenen, DC Mailing Address: 303 Central Avenue, East City: Hampton Zip: Phone: Maximum Cost at School: $8 Maximum Cost at Agency: $8 Maximum Travel Distance: 45 miles Organization: Petersen Family Wellness Center Contact Person: Todd Alberti Mailing Address: 1213 Chatburn Ave City: Harlan Zip: Phone: Maximum Travel Distance: 50 miles Organization: Hawarden Regional Healthcare Contact Person: Mike May, DPT Mailing Address: th Street City: Hawarden Zip: Phone: Maximum Travel Distance: 15 miles 23

25 Organization: Whitmer Spine & Sports Chiropractic Contact Person: Jamie Whitmer, DC Mailing Address: 800 South Main City: Holstein Zip: Phone: Assessment Method: Tanita Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 20 miles Organization: Humboldt County Memorial Hospital Contact Person: Andrew Newell, LAT Mailing Address: 1000 N 15th St City: Humboldt Zip: Phone: andrewn@humboldthospital.org Organization: Huxley Physical Therapy Contact Person: Rob Drew, PT, LAT Mailing Address: 408 Campus Dr Ste B City: Huxley Zip: Phone: rob@huxleypt.com Maximum Travel Distance: 5 miles 24

26 Organization: Buchanan County Health Center Contact Person: John Eikenberry, PT, LAT Mailing Address: 1600 First Street, East City: Independence Zip: Phone: Maximum Travel Distance: 30 miles Organization: Simpson College, Athletic Department Contact Person: Nicolle Whalen, LAT Mailing Address: 701 N C St City: Indianola Zip: Phone: nicolle.whalen@simpson.edu Maximum Cost at Agency: $8 Maximum Travel Distance: 45 miles.56 Organization: Iowa City Community School District Contact Person: Jennifer McHenry, LAT Mailing Address: 1900 Morningside Dr. City: Iowa City Zip: Phone: mchenry.jennifer@iowacityschools.org 25

27 Organization: Iowa City School District Contact Person: Sheila Stiles, ATC, LAT Mailing Address: 2901 Melrose Avenue City: Iowa City Zip: Phone: Organization: UI Sports Medicine Center Contact Person: Matt Doyle, LAT Mailing Address: 2701 Prairie Meadow Dr City: Iowa City Zip: Phone: Organization: Hansen Family Hospital Contact Person: Rick Tjaden/Dave Moore Mailing Address: 920 S Oak Street City: Iowa Falls Zip: Phone: moordad@mercyhealth.com Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles.5 26

28 Organization: Greene County Community Schools Contact Person: Ann Hicks, RN Mailing Address: 101 Ram Dr City: Jefferson Zip: Phone: Assessment Method: Tanita Organization: Keokuk Chiropractic & Sports Injury Ctr. Contact Person: Dr. Dennis E Wolter, DC Mailing Address: 924 Main Street City: Keokuk Zip: Phone: dewolter@yahoo.com Assessment Method: Tanita Maximum Travel Distance: 5 miles Organization: Van Buren Community School Contact Person: Heidi Bainbridge Mailing Address: 1576 Broad St City: Keosauqua Zip: Phone: heidi.bainbridge@van-burencsd.org 27

29 Organization: Pella Regional Health Center - Knoxville Contact Person: Todd Smith, ATC, LAT Mailing Address: 1208 N Lincoln City: Knoxville Zip: Phone: tsmith@pellahealth.org Maximum Cost at School: $7.5 Maximum Cost at Agency: $7.5 Maximum Travel Distance: 45 miles Organization: South Central Calhoun High School Contact Person: Lorie Otto, School Nurse Mailing Address: 709 West Main City: Lake City Zip: Phone: lotto@scc.k12.ia.us Assessment Method: Tanita Organization: Therapeutic Health Services Inc. Contact Person: Anthony Peyton, PT Mailing Address: 714 Lincoln Street City: LeMars Zip: Phone: anthony.peyton@floydvalley.org Maximum Cost at Agency: $5 Maximum Travel Distance: 15 miles.5 28

30 Organization: Decatur County Hospital - Rehab Dept. Contact Person: Laria Rasmussen Mailing Address: 1405 NW Church Street City: Leon Zip: Phone: lrasmussen@d-c-h.org Maximum Cost at School: $5 Maximum Travel Distance: 5 miles Organization: Regional Medical Center of NE Iowa Contact Person: Jeff McCormick, LAT Mailing Address: 709 West Main Street City: Manchester Zip: Phone: jeff.mccormick@regmedctr.org Maximum Travel Distance: 30 miles Organization: West Delaware CSD Contact Person: Ashley Monaghan, RN Mailing Address: 601 New St City: Manchester Zip: Phone: ashleymonaghan@w-delaware.k12.ia.us Assessment Method: Tanita 29

31 Organization: Ultimate Chiropractic Health Center Contact Person: Dr. Brent D. Pauls, DC Mailing Address: 616 West Platt Street City: Maquoketa Zip: Phone: Maximum Travel Distance: 20 miles Organization: Iowa Valley Schools Contact Person: Jeremy Kriegel Mailing Address: 359 East Hilton St City: Marengo Zip: Phone: Assessment Method: Tanita Maximum Travel Distance: 60 miles Organization: Unity Point Health, St. Lukes Sports Medicine Contact Person: Vince Klopfenstein, MS, LAT Mailing Address: th St City: Marion Zip: Phone: Maximum Travel Distance: 20 miles.25 30

32 Organization: Anna Strand Contact Person: Anna Strand, RN,BSN Mailing Address: 3274 Midway Road City: Marion Zip: Phone: Organization: SportsPlus Sports Medicine and PT Contact Person: Kristina Horner, ATC Mailing Address: 32 East Main St City: Marshalltown Zip: Phone: Maximum Cost at School: $5 Maximum Travel Distance: 45 miles.5 Organization: Mercy Medical Center North Iowa Contact Person: Chris Trytten, ATC Mailing Address: th st SW City: Mason City Zip: Phone: Assessment Method: Futrex/Tanita Maximum Travel Distance: 50 miles.54 31

33 Organization: Ringgold County Hospital Contact Person: Jill Ehlen, PTA Mailing Address: 504 North Cleveland St City: Mount Ayr Zip: Phone: Maximum Cost at School: $8 Maximum Cost at Agency: $8 Maximum Travel Distance: 1 miles Organization: Iowa Physical Therapy Contact Person: Jeremy Elliott, LAT Mailing Address: 108 First Street, SE City: Mount Vernon Zip: Phone: mvelliott@netzero.net Maximum Cost at School: $5 Maximum Travel Distance: 30 miles.5 Organization: Linden Chiropractic Clinic Contact Person: Dr. Byron Linden, DC Mailing Address: PO Box 626 City: Moville Zip: Phone: beckylb@wiatel.net Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles.5 32

34 Organization: Integrated Therapy Specialists Contact Person: Nicole Calvert, ATC/LAT, CSCS Mailing Address: 2109 Cedarwood Drive, Suite 100 City: Muscatine Zip: Phone: Assessment Method: Tanita Maximum Travel Distance: 35 miles.5 Organization: 21st Century Rehab - Nevada Contact Person: Tasha A Vorm, LAT Mailing Address: 640 S. 19th Street City: Nevada Zip: Phone: ptstaff@storymedical.org Organization: Dr. Kelly Kadel, DPM Contact Person: Dr. Kelly Kadel, DPM Mailing Address: 2455 Racine Avenue City: New London Zip: Phone: ktmracerboy19@icloud.com Maximum Travel Distance: 60 miles.3 33

35 Organization: Kinetic Edge Physical Therapy Contact Person: Matt Scotton, DPT, ATC, CSCS Mailing Address: 321 E 3rd St N City: Newton Zip: Phone: matts@kineticedgept.com Organization: Liberty High School Contact Person: Anna Manternach, LAT Mailing Address: 1400 S Dubuque St City: North Liberty Zip: Phone: manternach.anna@iowacityschools.org Organization: Performance Rehab LLC - Oelwein Contact Person: Mike VanDenHul, LAT, ATC, PTA Mailing Address: 204 East Charles Street City: Oelwein Zip: Phone: michael.vandenhul@gmail.com Maximum Travel Distance: 20 miles.54 34

36 Organization: MOC-Floyd Valley High School Contact Person: Chris Krohn, LAT Mailing Address: 615 8th Street, SE City: Orange City Zip: Phone: Organization: Northwestern College Contact Person: Derrick Moss, LAT Mailing Address: 208 8th Street, SW City: Orange City Zip: Phone: Maximum Travel Distance: 30 miles.5 Organization: Street Chiropractic Contact Person: Zach Muller, DC Mailing Address: 920 Main St City: Osage Zip: Phone: Maximum Travel Distance: 50 miles 35

37 Organization: Clarke County Hospital Contact Person: Zach Woods, ATC, LAT Mailing Address: 800 S Fillmore St City: Osceola Zip: Phone: zachwoods33@hotmail.com Organization: Kinetic Edge Physical Therapy Contact Person: Laura Norberg, LAT, ATC Mailing Address: 1412 A Ave W Suite A City: Oskaloosa Zip: Phone: lauran@kineticedgept.com Maximum Travel Distance: 20 miles.33 Organization: William Penn University Contact Person: Abu Ibrahim, MBL, ATC, LAT Mailing Address: 201 Trueblood Ave City: Oskaloosa Zip: Phone: ibrahima@wmpenn.edu Maximum Travel Distance: 15 miles.54 36

38 Organization: Ottumwa Regional Health Center Contact Person: Tomi Shull Mailing Address: 1001 Pennsylvania Avenue City: Ottumwa Zip: Phone: Assessment Method: Futrex Maximum Travel Distance: 20 miles.54 Organization: Pella Regional Health Center - Ottumwa Contact Person: Todd Smith, ATC, LAT Mailing Address: 611 North Hancock St City: Ottumwa Zip: Phone: todds@pellahealth.org Maximum Cost at School: $7.5 Maximum Cost at Agency: $7.5 Maximum Travel Distance: 45 miles Organization: Pella Regional Health Center Contact Person: Todd Smith, ATC, LAT Mailing Address: 404 Jefferson Street City: Pella Zip: Phone: tsmith@pellahealth.org Maximum Cost at School: $7.5 Maximum Cost at Agency: $7.5 Maximum Travel Distance: 45 miles 37

39 Organization: Kinetic Edge Physical Therapy Contact Person: Dustin Briggs Mailing Address: 604 Liberty St. Suite 227 City: Pella Zip: Phone: Maximum Travel Distance: 60 miles.33 Organization: Southeast Polk CSD Contact Person: Darrin Carpenter, LAT Mailing Address: 7945 NE University Avenue City: Pleasant Hill Zip: Phone: ext Assessment Method: Tanita Organization: Rock Valley Physical Therapy Contact Person: Zach Hendricks, ATC, LAT Mailing Address: 419 West Bridge Rd City: Polk City Zip: Phone:

40 Organization: Nicole Rengstorf Contact Person: Nicole Rengstorf Mailing Address: 1507 Blue Grass Rd City: Red Oak Zip: Phone: Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles Organization: Riceville Community Schools Contact Person: Kelly Brown, RN Mailing Address: 912 Woodland Ave City: Riceville Zip: Phone: Organization: Kelly Brown, RN Contact Person: Kelly Brown, RN Mailing Address: th St City: Riceville Zip: Phone:

41 Organization: Hegg Memorial Health Center Contact Person: Alli Den Boer Mailing Address: st Avenue City: Rock Valley Zip: Phone: Assessment Method: Tanita Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 25 miles Organization: West Fork Family Medicine Contact Person: Joshua Baker, DO Mailing Address: 705 Elm Street East City: Rockwell Zip: Phone: Organization: Saint Ansgar High School Contact Person: Luke Nielsen Mailing Address: 206 E. 8th Street City: Saint Ansgar Zip: Phone:

42 Organization: Sanford Sheldon Medical Center Contact Person: Donna Ihnen, PT Mailing Address: 118 N 7th Avenue City: Sheldon Zip: Phone: donna.ihnen@sanfordhealth.org /Tanita Maximum Cost at School: $5 Maximum Cost at Agency: $3.5 Maximum Travel Distance: 60 miles.54 Organization: Shenandoah Medical Center Contact Person: Nikki Carlson Mailing Address: 300 Pershing Avenue City: Shenandoah Zip: Phone: ncarlson@smchospital.com Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 45 miles Organization: Sibley Chiropractic, PC Contact Person: Dr. Brian Sayler, DC Mailing Address: 240 9th Street City: Sibley Zip: Phone: drbriansayler@gmail.com Maximum Cost at School: $3 Maximum Cost at Agency: $4 Maximum Travel Distance: 40 miles.42 41

43 Organization: Sports Medicine Northwest Contact Person: Jim Lonning, LAT Mailing Address: st Avenue E, Suite C City: Spencer Zip: Phone: cloneit@yahoo.com Maximum Travel Distance: 60 miles Organization: Mary Greeley Rehab and Wellness Contact Person: Matt Petersen, PT Mailing Address: 812 Elm Avenue City: Story City Zip: Phone: petersen@mgmc.com Assessment Method: Futrex/Skinfolds Maximum Cost at Agency: $5 Maximum Travel Distance: 5 miles Organization: Performance Rehab LLC - Sumner Contact Person: Justin Trainor, MSPT Mailing Address: 909 West 1st St City: Sumner Zip: 0 Phone: justin.trainor@unitypoint.org Maximum Travel Distance: 20 miles.54 42

44 Organization: Central Iowa Physio / South Tama High School Contact Person: Jill Kienzle, LAT/ATC Mailing Address: 1715 Harding Street City: Tama Zip: Phone: jkienzle@myphysio.com Maximum Travel Distance: 60 miles.55 Organization: Progressive Rehabilitation Assoc. LLC Contact Person: Scott Thoma, PT Mailing Address: 100 Alexander Dr Suite 4 City: Tipton Zip: Phone: scott.thoma14@gmail.com Assessment Method: Tanita Maximum Cost at School: $7 Maximum Cost at Agency: $5 Maximum Travel Distance: 50 miles.4 Organization: 21st Century Rehab Contact Person: Keri Fye, ATC Mailing Address: Hammontree Circle City: Urbandale Zip: Phone: keri.sersland@gmail.com 43

45 Organization: Benton Community School Contact Person: David Frazier, CSCS, MA Mailing Address: 600 1st St City: Van Horne Zip: Phone: Maximum Cost at School: $5 Maximum Cost at Agency: $7 Maximum Travel Distance: 40 miles.35 Organization: Virginia Gay Hospitals & Clinics Contact Person: Matthew Wilden, PA-C, MSPT Mailing Address: 504 N 9th Avenue City: Vinton Zip: Phone: matt.wilden@gmail.com Maximum Travel Distance: 15 miles Organization: JET Physical Therapy Contact Person: Eric Turner, PT, LAT Mailing Address: 511 Highway 1, South City: Washington Zip: Phone: eric-turner@jetpt.net Maximum Cost at School: $5 Maximum Cost at Agency: $5 Maximum Travel Distance: 30 miles.4 44

46 Organization: Covenant Wellness Center Contact Person: Colby Yoder, LAT Mailing Address: 2101 Kimball Avenue City: Waterloo Zip: Phone: Maximum Cost at Agency: $8 Maximum Travel Distance: 60 miles.57 Organization: Veteran's Memorial Hospital Contact Person: Brad Krambeer, LAT Mailing Address: 40 1st Street, SE City: Waukon Zip: Phone: Maximum Cost at Agency: $5 Organization: Taylor Physical Therapy Associates Contact Person: Jerod Gayer, PT Mailing Address: 312 9th Street, SW City: Waverly Zip: Phone: Maximum Cost at School: $7.5 Maximum Cost at Agency: $7.5 Maximum Travel Distance: 60 miles.45 45

47 Organization: Rock Valley Physical Therapy Contact Person: Jon Woltz, PT Mailing Address: 112 2nd Street, NW City: Waverly Zip: Phone: Maximum Cost at School: $7 Maximum Cost at Agency: $5 Maximum Travel Distance: 40 miles.5 Organization: North Central Chiropractic Contact Person: Dr. James W. Kumm, DC Mailing Address: 639 Second Street City: Webster City Zip: Phone: /Tanita Maximum Cost at School: $9 Maximum Cost at Agency: $7 Maximum Travel Distance: 30 miles.35 Organization: Great River Medical Center Contact Person: Sheena Abbott, ATC/LAT Mailing Address: 1401 W Agency Rd City: West Burlington Zip: Phone: skabbott@grhs.net Maximum Travel Distance: 40 miles 46

48 Organization: Kevin Miller, DC Contact Person: Kevin Miller, DC Mailing Address: 1905 EP True Pkwy #207 City: West Des Moines Zip: Phone: Maximum Cost at School: $8 Maximum Cost at Agency: $8 Maximum Travel Distance: 50 miles Organization: UnityPoint Health - Des Moines Contact Person: Chris Wiedmann, LAT Mailing Address: 2850 Westown Parkway City: West Des Moines Zip: Phone: chris.wiedmann@unitypoint.org Maximum Travel Distance: 50 miles.5 Organization: Gundersen Palmer Lutheran Hospital and Clinics Contact Person: Melanie Martin, LAT, ATC Mailing Address: 112 Jefferson Street City: West Union Zip: Phone: mrmarti1@gundersenhealth.org 47

49 Organization: Dr Dominink Ervelli Contact Person: Cathy Anderson Mailing Address: 235 Highway 30 City: Westside Zip: Phone: Maximum Cost at School: $5 Maximum Travel Distance: 20 miles Organization: Gary Christensen Contact Person: Gary Christensen Mailing Address: 1704 Patricia Acres City: Winterset Zip: Phone: Maximum Cost at School: $5 Maximum Cost at Agency: $8 Maximum Travel Distance: 35 miles.3 END 48

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