Physical Therapy


Bike Fitting


Pitching Analysis

Video analysis of pitching mechanics/form. With pre-hab and rehab services for the throwing athlete.


Occupational Therapy (Pediatrics)

Occupational Therapy for pediatric services, including nature-based therapy services and groups.


Nature-based Occupational Therapy

Nature-based Occupational Therapy services are provided as a one-on-one service or group. Groups are assigned by the therapist.


Massage Therapy

60-minute or 90-minute sessions available.

Packages are also available - let your massage therapist know if you are interested in purchasing one.


Personal Training


VO2 Max testing

A VO2 max test measures how much oxygen your body uses during exercise and is considered the gold standard for assessing cardiovascular fitness. What Happens During the Test - Exercise: You exercise on a treadmill or bike while breathing into a mask that measures the air you inhale and exhale. Increasing intensity: The intensity of the exercise increases every few minutes until you can no... Read More

A VO2 max test measures how much oxygen your body uses during exercise and is considered the gold standard for assessing cardiovascular fitness.
What Happens During the Test -
Exercise: You exercise on a treadmill or bike while breathing into a mask that measures the air you inhale and exhale.
Increasing intensity: The intensity of the exercise increases every few minutes until you can no longer continue.
Resting: After the exercise, you rest for a few minutes to recover.
Data analysis: The machine analyzes the air you exhale to determine how much oxygen you used during exercise.
The test results can be used to: Calculate your target heart rate zones for different levels of exercise; Improve your performance; Increase your aerobic capacity and endurance
A higher VO2 max indicates a healthier cardiovascular system, which can reduce the risk of heart disease and lower blood pressure.


RMR (resting metabolic rate) testing

A resting metabolic rate (RMR) test measures how many calories your body burns while at rest. It's also known as a caloric burn rate test. RMR tests can help you: Plan your diet and exercise, Lose or maintain weight, and Create a food plan. Here's what you can expect during an RMR test: Preparation: You should not eat, drink coffee, smoke, or drink alcohol for 4–5 hours before the test. ... Read More

A resting metabolic rate (RMR) test measures how many calories your body burns while at rest. It's also known as a caloric burn rate test.
RMR tests can help you: Plan your diet and exercise, Lose or maintain weight, and Create a food plan.
Here's what you can expect during an RMR test:
Preparation: You should not eat, drink coffee, smoke, or drink alcohol for 4–5 hours before the test.
Test: You'll lie or sit comfortably in a chair and breathe into a tube that's connected to a computer. The computer analyzes your breath to calculate your RMR.
Length: The test usually takes about 10 minutes (but add a few minutes before and after for set up and analysis).
Results: The test provides a measure of your baseline caloric needs and how your body uses fat and carbohydrates.
A higher RMR means you burn more calories at rest, which can lead to more significant weight loss. A lower RMR means you burn fewer calories at rest, which can make it harder to lose weight.

Hello! I’m Hannah and I am a dual Licensed massage therapist, physical therapist assistant, and the owner of Method Massage, LLC. I am a Spokane, WA native, graduating from Inland Massage Institute in 1998 and, after returning to college, I graduated from the physical therapist assistant program at SFCC in 2006. I have 25 years in therapeutic massage and 17 years in outpatient physical therapy practice. My extensive experience includes orthopedic, post surgical, migraine/other headache types, car accidents and work injuries, post cancer treatment, PTSD/trauma, and post concussion rehab. My passion for lymphatic mobilization, neurological reflex integration therapy, and (myo)fascial release have ultimately become my specialties over the past 2+ decades. In my years of practice, I have gained insight as to how each body is unique, with an array of conditions, that I am able to understand and navigate in order to provide superior symptom improvement. I offer a deeper approach in the massage therapy realm due to my background in physical therapy. As an added benefit, I offer an oil bar with options for custom herbal infusion blends upon request for a personalized experience. When I am not in the clinic, I enjoy my time outdoors with my amazing husband, 2 children, and 3 dogs.

Below, you will find more information about my specialties.

Lymphatics:

Technique: A unique light pressure massage method used to mobilize the natural lymph which exists throughout the body tissues.

What is the lymphatic system? The lymphatic system is a special network of tissues, made up of vessels, nodes, and ducts that work in harmony with the vascular system including the heart and blood vessels, as well as the kidneys, to move the natural existing fluids of the body from the tissues.

Why? To reduce swelling in areas of injury and/or chronically swollen parts of the body, clear toxins and cellular waste from tissues, enhance your immune system function, as well as increase joint and tissue mobility for higher physical function.

Who can benefit? People diagnosed with lymphedema due to a poorly developed lymphatic system or caused by injury or illness, people with lipedema, and post surgical patients, including orthopedic and cosmetic.

Neuro:

Technique: Various manual Methods are utilized including sweeping, point pressure stimulation, rhythmic tapping, pulling, and pressing at specific areas of the body, followed by a gentle movement into the pattern of a reflex either passively or actively.

What is it? Reflex integration therapy (RIT) is bodywork designed to regulate the autonomic nervous system by balancing the sympathetic (fight or flight) and parasympathetic (rest and digest) systems, as well as regulate sensory systems including vision, hearing, tactile (touch), and vestibular (balance). This type of bodywork will create regulation and stability in both your physical and emotional state of being.

What are Primitive reflexes? Primitive reflexes emerge in the brain stem and are present at birth, fully integrated into our complex nervous system early in life. They are the foundation of how we move and learn in the world around us. They are no longer automatic but they are still there keeping us upright and interacting with the world. Have you ever been busily chatting with someone while holding a cup of coffee, and yet you do not drop the cup even though you are not thinking about holding it? That is your grasp reflex helping you out!

Who can benefit? When a reflex is in a dysfunctional state, the central nervous system is in dysregulation at the brain stem or hind brain level, and higher functions from the cerebrum are not able to operate correctly or efficiently. This can present as sensory system problems like low tolerance to light or sound, fogginess, forgetfulness, poor sleep quality, digestive disorders, immune system suppression, poor body awareness, tight muscles, boundary issues, poor attention span, emotional dysregulation, and so on. By stimulating the reflex pathways, we have direct access from the peripheral nervous system at the skin, into the central nervous into the brain. Once the reflex is regulated, we are able to open and strengthen the neuro pathway from the brain stem through the mid brain and into the cerbral cortex where higher functioning systems can perform optimally. Remember, we are only as good as our nervous system!

Fascial:

Technique: Deep and superficial manual methods are used, including friction massage, twisting, and stretching along specific fascial lines of the body that are strategically mapped according to your pain and limitations of motion.

What is fascia? It is your connective tissue! The soft tissues and organs of the body are strong and flexible, protected and stable because of its fascia system. There are many fascial lines in the body that hold you all together, keep you upright against physical resistance, and keep you from turning into a puddle of mush. The fascia is not immune to stress from both outside and inside the body. It responds to physical and emotional trauma. It can tighten up, get knotted up and create long lines of tension from one end of your body to the other. Scar tissue can become a major problem if it is not properly managed. You may have a painful shoulder and that might end up effecting your lower leg!

Who can benefit? Anyone who has had an accident or injury, previous surgeries, and even tightness in an area of the body not brought on by physical injury.

Hello! I’m Hannah and I am a dual Licensed massage therapist, physical therapist assistant, and t... Read More

Hi, my name is Blayre and I want to help you be active and accomplish your goals. I believe our bodies are a blessing and a gift and it’s important to take care of them- which can be really hard at times.

I earned my bachelor’s degree in Community Health right here at Eastern Washington University. I completed my internship in Arizona at a senior living community and loved it with all my heart. Upon moving back to Spokane, I started working for the YMCA. I have specialized in strength and conditioning for the cancer survivor and personal training for individuals over 18 years of age. I have 4 kids and enjoy working with other moms who want to become energetic and strong. My passion is meeting people where they’re at and building from there. I want to help you feel better, improve your quality of life, help you age well so you can run around with your (future) grandkids, and be able to get up off the floor when you’re 80 years old!

I’m looking forward to working with you!

Hi, my name is Blayre and I want to help you be active and accomplish your goals. I believe our b... Read More

Hi! I’m Ryan, the co-owner of 509 Therapy Hub. I am an outgoing and enthusiastic Physical Therapist.

I was born in Utah, raised in Guam, and grew up in the Spokane Valley. I played collegiate baseball in Tacoma, WA and served as a missionary for The Church of Jesus Christ of Latter-Day Saints in the southernmost region of Texas. I’ve seen a lot of diversity, can speak Spanish, and truly love helping people.

After my mission I went on to get a Bachelor’s degree in Exercise Science from EWU, and my love for sports and health led me to the profession of Physical Therapy. I received a DPT from Midwestern University in Glendale, AZ, where I finished in the top 3 of my class. I have experience as a supervising/managing therapist in a private practice outpatient clinic. I enjoy detecting and solving patient’s orthopedic problems with hands-on therapy, and highly personalized care.

Over the years I have developed a love for outpatient orthopedics and treating athletes. Being a multi-sport athlete myself, I enjoy competing on rec leagues with the love of my life. Together we now have 4 beautiful and energetic kids ranging from 1-9 years old.

When I’m not in the clinic helping people or on the field playing a sport of my own I’m chasing my 4 little ones around - playing games, Legos, football or wakesurfing on the lake.

I’m looking forward to working with you to get keep you doing the things you love, pain free!

Hi! I’m Ryan, the co-owner of 509 Therapy Hub. I am an outgoing and enthusiastic Physical Therapi... Read More

Paul grew up in Wisconsin and left home as a teenager to pursue his dreams in cycling. He raced in several countries worldwide as a US National Cycling Team member and is an eight-time national champion.

While contemplating retirement from cycling, he conducted a study at Auburn University on tilting the foot at the pedal with a product he co-developed called the Cleat Wedge. He then designed The Bicycle Fitting System, nominated by Bicycling Magazine as one of the most innovative products in the cycling industry. He developed and patented dozens of more products in cycling and fitness. His products have been used in winning many of the world’s biggest races. If you have ever taken a Spinning or indoor cycling class, you may have touched something he developed. Today his latest works are The Bar Zoomer for the Peloton bike, and he recently launched a new saddle company www.NINETKY.com. You can try some of his saddles displayed in the clinic.

Paul has also traveled the world teaching cycling biomechanics, having trained over 2000 bike fitters. Paul has touched and influenced the lives of nearly every bike fitter in the world.

He loves being a father, riding his bike, and lots more. Paul is extremely grateful for the things that life has provided for him. Both of his parents died of cancer, and Paul is a survivor living life.

Paul grew up in Wisconsin and left home as a teenager to pursue his dreams in cycling. He raced i... Read More

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Located at: 12B N University Rd, Spokane Valley
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