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Creating a Successful Partnership For Our Practice: An Interview with Alyssa and Bree Almeida

Alyssa and Brianna Almeida, Owners of Renew Health LLC

We have had a great group of interviews with solo practice owners, so this makes this interview very special. Alyssa and Bree Almeida are identical twins that opened up their pelvic floor PT practice Renew Health LLC together, being our first interview with business partners! Like many of our practice owners that we have met, Bree and Alyssa started their practice after realizing they can offer more to their patients together in their own cash based practice than where they were individually. Although they faced some challenges and had to overcome some fears of starting their own practice, this dynamic duo are now successfully partnering together to run their cash based practice.

What we will be covering:

Tell us a little bit about your backgrounds and what led to start your own business?

Alyssa: We went to American International College in Springfield, Massachusetts. We're located in Western Massachusetts and we graduated in 2016. When we were in grad school we had the idea of starting our own business. We knew that we are great on our own but we're better together and we both shared some of the same passions and interests especially with women's health and pelvic health. That's where our business focus is now. We started talking about it and created all these business plans and shared it with all of our friends. We both started off working in outpatients orthopedics. I have some background in acute care and emergency department, but we knew that we really wanted to get into public health and find a way to work together.

Bree: Elaborating a little bit more on what Alyssa just said, we had a lot of business plans and that was from a project that we had done in physical therapy school, (where you're pretending that you're opening up a business and you develop a business plan). Immediately we saw everybody else doing the same outpatient orthopedic clinic. There's nothing wrong with that, but we decided to do something a little different. Then we actually came up with a pelvic health clinic and we named it Renew Health, which is our business name now. It's really cool to think that back in 2014/2015 we started this and then fast forward to 2022 the same exact name is actually coming to life. I think for us, we always thought that this is what we wanted to do, but didn't quite know if that's something that we would ever end up doing. The fact that we're here now is just really cool.

Morgan: For sure! I mean you guys have come so far and when you really think about it and it's been about 12 - 18 months of your life, (such a short period of time in the grand scheme of things), that you've come so far and so many things have changed. I for one am just so proud of both of you and all the changes that I've seen with you guys personally but also with the business too.

What was the turning point? What are some of the worries and fears that you guys might have had?

Bree: I will say that I was the one that reached out to you Morgan. I felt like we just had something special and unique that I really wanted to put the trust in ourselves and bet on ourselves. I know Alyssa was probably a little bit more reserved, so I was the one that made the the phone call to you. We just had to do it and and whatever happened happened, but I knew that deep down I wouldn't be satisfied in my career if we didn't try. Now we're happier than I think we could have imagined at this point.

Alyssa: I know for me in particular during Covid and still working in the hospitals, I think that really opened up my eyes as to how quickly things can change in your life, It left me in a spot where I wasn't happy anymore with working in a typical PT Clinic. You had mentioned as well business growth which has been really awesome, but I think our personal growth too. I know for a fact, I don't want to speak for a Bri but I see it in her as well, the past two years we have grown so much personally. I've heard other people say that business and financial growth piggybacks huge personal gains and development as well. I think for us that's absolutely true. I think two years ago I was not in a position where I would have made the leap to do something like this and I'm glad that I had Bri to initiate that a little bit. We talked about it and said "what's the worst thing that can happen?" I remember talking about that with you Morgan, and the worst thing that could happen wasn't that bad, so that we had to just go for it.

Bree: Quite honestly Alyssa and I've had a lot of conversations between ourselves, but also with you Morgan, we got to this point being PTs for six or so years and it was sad to me thinking that I don't think that I want to be a PT anymore. That bothered me so much in my core. This is what I love to do, but the way that physical therapy is, the way that even insurance companies are right now, and clinician burnout, it was something that I didn't want to think about. The only way that I felt like I could be a physical therapist in the future was to create our own path. I think that was very eye-opening too. Coming home from work and just feeling like you're not helping your patients in the way that you feel like you should be helping them with a lot of the barriers that we find in those other clinics. That was something that bothered me that I couldn't imagine NOT doing what I do for work anymore. Something that I love.

Morgan: I know that that's definitely something that I think the three of us have in common. It's still such a visceral memory for me where I remember being in my clinic and I had what felt like a hundred patients at one time. There were a lot of patients who we had a pretty neutral relationship, but there were also quite a few patients that I had a relationship with and the nature of that relationship was that I was their sole support system. I was the one person in their life that was really helping them, and I was the person that they trusted to give it to them straight and really help them. Any time that I wasn't able to give my all to those people, it was so upsetting because we know that we can offer that kind of environment for people. For me as well, it's so important to be able to hold that space for somebody because as humans we have so much going on and we need that support. When you're not able to do that anymore in a traditional setting then I either figure out a different format of being able to help people that doesn't involve me being a therapist or I go and do things my own way.

Can you share a little bit more about your practice, the services you offer, and where you're at today?

Bree: We are a pelvic health specialty practice in Western Massachusetts. Initially we started in a space in Wilbraham, Massachusetts and we're also offering some mobile or concierge services. In July we we moved to East Longmeadow Massachusetts and we still offer some concierge visits as well. However we've noticed that that has been not the the bread and butter of our practice anymore. We still offer that service and we are very happy to be in the facility that we're in so we rent some space in a Health and Wellness Center. It's amazing because there's a lot of awesome clinicians there and we're very excited to be with an awesome group of ladies that are doing similar things to what we're doing.

Alyssa: With our pelvic health we work with, of course, a lot of pregnant and postpartum women, so some diagnoses we might see include urinary incontinence, fecal incontinence, diastasis recti or the abdominal wall separation, pelvic pain, constipation and then even when we think even more on the orthopedic side we do a lot of return to fitness/return to running. We actually just put out a little Instagram/Facebook video too for some marketing, but also letting people know like this is also what pelvic floor PT looks like. Doing squats, doing functional movements, functional exercise, not just lying on a table doing Kegels, (which isn't helpful for patients). We definitely treat the whole body, again, with the focus being the pelvic floor. It's been really awesome too to be able to do that for patients. They come in and realize we can do other things too. We've been able to work with our patients as a whole and really see them through their plan of care. Like Bree said, the women that we work with in this new Health and Wellness Center, they're just amazing and we feel like we're a perfect fit.

Morgan: There's always, at least for me in my experience, different feelings, worries, and fears about working with anybody besides yourself. Whether it's a business partner or literally the carbon copy of you, let alone another business.

You guys have experience of working together as a team and then you've also had a lot of experience working with other providers. Can we go into that a bit?

Bree: We're identical twins, so we definitely have a fun dynamic. At times it can test our relationship I guess. I don't think we've talked to really anybody thus far, like business owners, that have done a partnership. I think it's always been solo. We have our own strengths and weaknesses and I think that, for the most part, we complement each other very well. We just had to learn I guess what is Alyssa better at than me and that I don't really want to do or vice versa. It's been taking us a little bit of time to get that down, but it's really funny when patients tell us, "I'm just so happy that there's two of you!" It's really fun. We're just so similar in personality and our treatment philosophy, so it is easy working with Alyssa, especially in the clinician side of things because we just get each other. We're on the same page.

Alyssa: Right, it's been a really smooth transition. I feel like in life we're soul mates in that regard. We've always of course been very close as twins. We're really best friends and so it's been really cool to have that dynamic partnership where our patients really see when we're together we're just this whole other level of like insanity. Like PT nerdy stuff, but they love it. It is really cool to go to work with Bree every day. It's fun, but definitely challenging at times. We spend a lot of time together anyways. Then when you now have a business that you're running together as well, it certainly can be challenging. However, I think in a lot of ways we hold each other accountable. We have to and I think it helps sometimes. I need a little push and sometimes Bree does as well. We're able to do that and it's been great.

I know there's been like a lot of challenges, not just with working with another person but overall. Since you guys started to now, what do you feel like has been the biggest challenge that you've overcome?

Bree: I think that when we first started it was again really just betting on ourselves and not being so hesitant of "what if we fail". That's something that I saw on a lot of these PT forums, maybe even on one of yours like the Facebook group, but when people ask, "What do you regret about your business?", it was always "I wish I'd started it sooner". When we first started talking and maybe even before our first conversation, was something that I kept seeing over and over again was "I wish I did this sooner". For me I was so scared, but I think that you helped us a lot with gaining confidence and knowing that we can do this. People think that they're safe and secure in their nine to five jobs, but for me that's not safe and secure, especially with the the pandemic happening. When you can make your own money and market yourself, that's such a good skill to have. I'm just happy that you've given us the opportunity to gain more confidence in ourselves. I am so happy with all the things that we've learned. We would never learn this stuff as regular clinicians.

Alyssa: I just think about working and, again of course previous jobs and climbing the clinical ladder and getting into management things, and I've learned so much more and have been able to apply it so much better in a way that is fun and rewarding. Like Bree said, the ability to have the skills to make money on your own, I definitely have not gotten that in any sort of previous job that I've had. Now, just working for ourselves, to be able to do that is really cool. Once you realize that being able to utilize your skill set and make a career out of it on your own, that was very valuable.

Bree: I would say that my biggest fear or challenge was committing to the process and feeling almost like I'm making the wrong decision even though in my heart I knew it wasn't the wrong decision to like quit my job and start a business. I guess that was the hardest thing for me to do.

Alyssa: That was probably the hardest for me. Morgan you know that. I definitely had struggles and I think too having that fear and maybe insecurity around money has always been a challenge for us. How we grew up and feeling like, "I finally graduated from PT school and now I'm able to make decent money. Why would I just throw that away?" Again though, knowing in my heart that we wanted to do so much more. However, feeling that insecurity and fear of the whole financial piece of it was something that I needed to get over from my past. Now, being able to move on from that has been really helpful, not only for our business but also for us personally.

Morgan: Absolutely. Of course everybody has different childhoods and different experiences and even different ways of going through school as well and coming out as a clinician. I think it's interesting what you guys were saying about the whole if you can learn sales and marketing and have a solid thing that you can sell, you can apply it to anything. Your entire life, whether you continue as a therapy practice or you go off and do something completely different. You can also teach it to other people and you can do consulting for other businesses as well with this stuff. It opens so many doors. I think Bree you were saying about this concept, (a nine to five job being "safe" versus learning how to do this stuff yourself and betting on yourself to make your own money). We can understand right now that even though it's unstable to run your own business, and I wonder if it's that we think of it that way because the whole responsibility is on you. Rather than, you could show up and have a bad day in a clinic/ a good day in the clinic, you'll still get paid. I guess what I'm trying to bring together is the concept of if you know you're going to learn how to make your own money, but still feeling tied to the nine to five job and the fear of jumping. With all of that, I think it's interesting to juxtapose those two things...

What advice would you guys have for somebody who's in that spot where they're logically "I get it", but also really scared?

Bree: I feel like my advice would probably be a little bit different than Alyssa, but I would say just do it.

Alyssa: I think for us it was more of we were getting in our own ways. I know some people who get nervous about doing something that is against the norm too. When people hear, "Oh you're going to quit your 'good job' and start a business", I didn't care about what other people thought of what we were doing. it was just me personally overcoming my barriers to be able to get to that point, but I can see too how maybe some people are really worried about what other people around them are doing. If that's the case, I would say certainly don't worry about what other people are doing and just do what's right for you because I think that's something that I've learned too along the journey: don't worry about other people. We are focused on what we need to focus on and that's most important.

Bree: I feel like that's true. I certainly had people that were questioning my decision to leave my job and told me "it's not the right time", "why don't you wait?" I'm like "Wait until when?" Again, nothing will happen for you, so I'm definitely happy that I pulled the trigger. I definitely understand the financial piece and we were certainly there. I know a lot of people transitioned. They might stay at their job and do part-time or something like that, but I felt that going full steam ahead with the business was a good idea for me at least because it definitely got things going. I recognized early on that when we were trying to work on our business a little bit in the early stages, you can't do everything. Once I pulled that trigger and I made that decision I was immediately a lot happier. I had time to dedicate to the business to have it grow.

Alyssa: I think too if I could add, being a partnership I was able to directly see how much happier Bree was too. I knew the spot that I was in and it wasn't a good spot. I was really unhappy and that trickled into every part of my life. It wasn't a good thing and so being able to see Bree happy and having so much more time to do the things she wanted or needed to do, that definitely made me want that too.

Morgan: Yeah, when you see your soul mate so happy finally after so long.

Alyssa: I know, I was like, "This is horrible. I can't every day." This is maybe what I would tell people too, if you feel that way you need to just stop because it's not worth it. Every day I was upset, I was angry at not being able to treat my patients the way I needed to treat them because of all of the the stuff that occurs in other clinics. I've had many discussions with Bree at the time too saying, I would rather do just about anything other than what I was doing at the time. Any job opening. It could have been anything. Again it's wanting to do something that you love and then not being able to showcase your ability to do it. It was hard. I don't want anybody to be in that spot.

Morgan: Right! You spend your days, your nights, your weekends, whatever just miserable all the time. It makes it really hard to concentrate on living your life.

I think this is funny. One thing that's interesting is since I've been doing this series is the advice that every single person has for anybody who's thinking about doing this is, "Just do it. Don't think about it, just do it." That's advice number one, and I think advice number two is, "if you find yourself applying for other jobs outside of this field, it is probably time your job." That was the same thing I was doing way back when I had been working at my clinic for two or three months in my very first job and I was like, "I've made a huge mistake!" It was a horrible but I was thinking of what else I can do besides being a physical therapist. I was looking at personal training and wellness coaching and everything else because I was like, "This can't be it. What am I supposed to do for the next 30 - 40 years of my life? Are you joking?"

Alyssa: We talked about that today too about how it's good for us because I would have definitely felt like I was alone in the whole situation. It's odd to me to think that I went to school, we both excelled and paid all this money to go to school, we finally have this job and then you're so unhappy. For us to be able to say, "This can't be the way it is." It helped because had I not had Bree, I definitely would have thought I made a mistake, I'm alone in this, maybe I'm not a good PT, maybe I'm not meant to do this. Talking to other people, other co-workers from jobs in the past we were like, "You guys are okay with the way that this is?" Everybody was just like, "Yeah, it's just the way it is."

Bree: Then you think "Is it me? Why am I not happy with the way that things are?" or "Why do I feel like I have to go above and beyond all the time want to provide the best patient care and then other people aren't?" I'm glad that we were able to share our experiences because we've always felt that like we wanted to do more than what we were doing. I don't think that we were meant to be in that nine to five, typical outpatient clinic. We never were meant for that. We realized that really early on. Also the fact that we both went to PT school, we always thought there has to be some reason why we both like the things that we're doing and we love our careers. There has to be something more to this than us working at different places and not feeling as fulfilled in our careers. That's an interesting piece to this too.

Morgan: I would agree. I think it's interesting to see how there are people who are totally fine with things as is. I do want to point out that if that is you, you're probably not reading this. If somebody is totally okay with things, that's fine. That is neither here nor there, but I feel like there are different archetypes. There are people like us. I remember, I was spending time on the weekend looking into A) how to start a business and B) how can I make money other ways, because I didn't like what I was doing. If that's you also, it's probably a good sign that you should follow that. There are people who are like, "it is what it is. I don't care." There are people also who are pursuing the traditional health care route because it provides them the income that they need. I know one of my friends, even though she was constantly stressed out, she really wanted to further her clinical knowledge, so our company paid for her to do a ton of courses. All of that is to say that there's also nothing wrong with you if you're not like us, (me, Alyssa, and Bree). I think if that's you, you're probably not reading this, but just know that there's other stuff out there too. It could be a business or it could be other things like bartending.

If you're finding yourself looking into other careers or you're like, "Now that I have time off, let me do something that I really like" maybe see if there's something that you can do to put yourself on a path to enjoy living your everyday life, because that's important.

Alyssa: That's what we're doing now and it's been life-changing honestly to be able to do things and have more time. If we do want to expand and learn new things, whether it be business or not, we have the ability to do that and it's interesting to finally feel like we're at a spot where we can do those things. I never would have thought that we would have the time to do the things we want, guilt-free too! There's been a lot of guilt of taking away time from work or whatever it may be. That was definitely tough, not taking vacations, not doing anything for ourselves because that's just what we did, but now getting to really do the things we want to do and spend time with people that we want to spend time with, it's been really fun.

Morgan: A big thing for me now, my husband Kyle and I have been talking about recently, he's making the shift to PRN and also has some private clients, so fingers crossed he's going to join the Dark Side, but it's so hard for him to accumulate enough PTO where he can take time off. He can either take Thanksgiving or Christmas off, one or the other, he can't have both. Whether it's the holidays or just you guys took time off for your birthday, being able to just say, "Let's take a vacation next month" and then you do it.

Bree: I booked a flight for North Carolina at the end of September and I just blocked it out of our calendar so she (Alyssa) knew that I was going to be away. You don't have to ask anybody.

You had wanted to emphasis the importance of being decisive in business. Tell us about your journey with being decisive.

Bree: I think that you definitely helped us with that the most. I don't know if it's our type A personality in us, wanting things to be done a certain way and I feel like we try to be perfect at certain things that we don't need to be. I don't know. We strive for that next level of excellence in everything that we do. We had to throw that out of the window and that's something that we've learned from you was to get things done versus trying to be perfect at everything. I remember our first Facebook live video and we thought we were dying inside because it was so nerve-wracking and stressful and what I've realized too is that our patients would probably much rather see us like how we are without trying to be perfect. We're definitely better at those. That was something that we struggled with.

Alyssa: Yeah, I think we're definitely better now at being able to make those quick decisions. That's what we need to do and it's better to make a decision and then have to go back and tweak things than delaying because delaying is inaction essentially. When you're just sitting there waiting for things to be done, they're not going to get done, so we learned to just do it. Then hopefully everything's done right the first time and we don't have to worry about it, but again it is a time saver. I think in the beginning we wasted a lot of time just wanting things to be as perfect as possible without realizing that it wasn't. We weren't spending our time where we needed to.

Morgan: Speaking to the whole "type A healthcare provider" thing, I think there's a big difference between being professional and having to have perfection with everything. That's something that's drilled into our heads is to be professional with everything that we do, but it doesn't have to be perfect. Your patients aren't expecting perfection, but they want to know that you're legitimate. As long as you have a license and you're polite and present yourself well, it's going to be fine.

The other thing I was going to mention too is when it comes to patient care, that's our job is to be decisive. Even though you might not know 100% whatever the diagnosis is, it's your job to decide what the patient needs to do next in order to figure out what their plan of care is going to be. You were saying Alyssa, in an ideal world it's perfect right from the get-go, but sometimes we have to take the time in patient care to experiment with something to figure out if it's "diagnosis A" and things add up to that or if the treatment doesn't work we know it's not that so let's explore "diagnosis B". That decisiveness comes into play with your patient care, and to be both a good clinician and business owner, that's the mentality that you have to have around it.

Alyssa: That's true. We do that all day, make decisions with our patients, like you said. It's definitely a different way of thinking of it because I did not. We do that all day long, make good decisions with our patients plan of care, exercise progression, whatever it is, but then when it was the beginning when it came to our business, it was like we lost all those skills.

Bree: I talk to my patients all the time and I always say that we're very intentional with everything that we're doing. We're intentional with our exercises. There's a method to everything that we give our patients and the way that we prescribe exercises, the way that we explain things, so the fact that we had such a hard time with that in the beginning is funny. It's funny now to think about it.

Morgan: It's kind of like a muscle that you build up too, being able to make decisions. You realize you decide on something and you're using whatever information you have to try your best and if it doesn't work out then it doesn't work out. Typically it's not going to be an emergency. You can always go back to it.

What has been your experience of cash versus insurance for women's/pelvic health? How did it go more towards the beginning versus now?

Bree: We are 100% cash based practice for pelvic floor physical therapy. I came from the insurance world with previous a previous job and even when it comes to public health a lot of diagnosis codes and sessions are very restrictive. A lot of things for pelvic health are not actually covered with certain insurances which always was something that frustrated me. In the insurance world, I'm getting a patient that has incontinence, pelvic pain, constipation, they have a 10-year history of back pain, they have x, y, and z and it's so complex. Then the insurance is like, "You get six visits." If you don't miraculously fix this patient in six visits then their next step is going to be having a bladder sling or surgery. That was very frustrating for me. Even certain diagnosis codes don't get covered as well. Everything is so restrictive. Pelvic floor physical therapy is so complex and we treat outside of the pelvic floor as well. The pelvic floor works in a system with other things. It doesn't work by itself. I feel like a lot of the work that I was doing in the insurance world, I didn't give as much to my patients as I should have if I was in the environment to do so.

The other day I was working with a patient and she was having some incontinence issues with like running. I told her, "Let's go outside and watch you run." In the insurance world, insurance doesn't care about you getting back to running. We work with a large CrossFit population as well. Insurance companies don't care that you can't do CrossFit without peeing your pants. Certain things that where we take our care to a different level and we aren't restricted by what insurance tells us we can and can't do, which is a huge help for us.

Alyssa: I think cash based honestly was the way to go regardless of if we were doing pelvic health or anything else. The level of care that we're able to give our patients is night and day. I can't even compare. I know that I'm skillful and intentional with everything that I do with my patients, but you can have a great PT in a poor environment and it's still going to be difficult for them to carry out that level of care because of insurance, time restraints, double or triple booking, tossing around a patient to multiple different providers and expecting this great level of care. Those are all things that we don't have to worry about. Just that in and of itself I think is taking away a huge barrier for our patients. The ability to do cash based has been so much better for our patients.

Bree: They get better faster as well. Where I came from we had a huge wait time, so a lot of my patients had to wait more than a month to see me for their second session. Then you don't have contact with your patients in that time frame. We want our patients to contact us, they contact us all the time because we want to be their PT. I always say that. I want to be their PT. They can call us, text us, it's just a different level of care. People don't have to wait as long. Someone reached out to Alyssa yesterday saying that she's been dealing with some severe pelvic floor pain and we're gonna be working with her next week versus waiting eight months to be seen. We're really trying to be more accessible as well. That's important to us because a lot of people don't even know what pelvic floor physical therapy is. They still think oh you're going to lay on the table right and just do Kegels or something. I think that there's a lot of providers even who don't really know what we do. I still get a lot of providers that think that we just do Kegels with our patients. We're really trying to expand upon our patients knowledge and our community, but also providers. There's not many pelvic floor physical therapists in our area, so we're just trying to spread the word.

Morgan: I think that the way that you guys put everything there: 1) you sound so confident about it which is so cool. Think about where you were this time last year. I'm convinced I should pay to come see you guys which I know I would anyway because you guys know what you're doing. 2) It is so patient-centered. You can be on one side of the fence or the other side of the fence when it comes to being cash or insurance based, but I completely agree with everything that you said. Having my own experience with my own practice it gives you a level of freedom and autonomy that despite having direct access, if you are held to whatever the insurance says is covered, it's not 100% holistic care.

Alyssa: Our patients definitely appreciate the holistic approach because that's something we offer because we're able to do so. It's been really great to be able to do that.

Bree: We just were working with a patient. She came in and three sessions and she has no prolapse symptoms. She was about to have surgery. Not only that but the main thing that she was coming to us for, she had chronic, 15-year, neck and back pain and back pain. She told us that since she started seeing us pelvic floor physical therapy, she hasn't had any neck pain at all from working on breathing and different exercises. It just made me think that if I was in that insurance world they'd be wonder what I was doing working on posture for her prolapse symptoms or working on some muscles. They question why you do certain treatments, but three visits for her! We always say we try to be the best people that we can be and I think that our patients see that we're just good people and we want to help. That's really what it comes down to I think and our patients I think like working with us.

Morgan: It's nice, even as a patient myself, it's nice to work with a provider that I feel like I can relate to as a person rather than it being a cold and distant relationship. That's definitely always nice.

Over the past year what do you feel like are a couple of things that have helped to lead you to the success and place that you guys are at right now?

Alyssa: First and foremost, working with you, having that great coaching, finding where we needed some help. We didn't really know all the time where to put our focus and our direction. Accountability for us is always a big piece of it as well. That's been fantastic. We certainly thank you for putting us where we're at truthfully. Also if Bree too had never made the the phone call. Honestly, I really do feel like it was a great fit for both of us. That definitely helped. We certainly would not be here with the business, I don't think, if it wasn't for you.

Bree: I think just us being consistent too with what we're doing and then having our communication be on point. That's what it needs to be. I feel like we do have some good moments of communication and we've definitely grown. Because we're so similar and we communicate differently than most people. We have to keep going and just be consistent with everything, making sure that we're on the same page. That's really been helping us and especially in the past month or two, we're working on a lot of projects together and prioritizing things too. We're getting organized. That's what we definitely struggled with in the beginning, making sure that we have our systems in place and being on the same page with things.

Morgan: All of that stuff sounds really great and of course it's really helpful, but it does take practice. If you are just starting out or honestly even if you've been in business for a decade, please keep having patience with yourself with your communication and organization because it's always a practice.

Where do you guys see yourselves taking your practice?

Alyssa: We're in a Health and Wellness Center now, but certainly having our own specific brick and mortar or even being a part of a bigger team too is something that we've thought about. Our patients are number one and so where we see, especially with pelvic health and women's health, there's a lot lacking. There are a lot of services that patients aren't getting in this area. Even taking it a step further and having maybe even more of a Health and Wellness Center ourselves with different practitioners would be really cool. Whatever our patients need that's where our focus is going to be.

Morgan: I think if you guys open the brick and mortar for yourselves I will fly to Massachusetts to come and look at it!

How to contact Alyssa and Bree:

*Facebook group: Renew Health

*Instagram: renewhealth_pt

Listen to this episode on my podcast!

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