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Our Staff

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Bret Kruthoff

PT, DPT, ECS, RVT, RCP
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Troy Loeckle

PT, DPT, RCP, RVT
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Amanda Rausch

PT, DPT
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Becky Gesell

PT, DPT, ATC
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Nichole Hemming

PT, DPT
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Jeffrey Krall

PTA, RVT, CRT/RCP
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Terry Schrader

CRT/RCP, Office Manager
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Bette Murray

CRT/RCP
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John McLaughlin

PTA
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Emily Stowe

PTA
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Ashley Lawson

PTA
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Kayla Jacobs

PTA
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    Brett Kruthoff PT, DPT, ECS, ATC, RVT, RCP
    • Doctorate of Physical Therapy, Temple University – 2007
    • Master of Physical Therapy, University of Iowa – 1990
    • Athletic Training, Gustavus Adolphus College – 1987
    • Clinical Electrophysiologic Specialist – 2000
    • Certified in Respiratory Therapy/Respiratory Care Practitioner
    • Registered Vascular Technologist – 1997
    • Special interests include EMG, Orthopedics, and Sports medicine.
    • University of Iowa adjunct faculty. Lectures on EMG.

    Bret joined SMS in 1992 and became co-owner in 1996

    Troy Loeckle PT, DPT, RCP, RVT

    • Doctorate of Physical Therapy, Des Moines University – 2010
    • Bachelors of Physical Therapy, University of Minnesota – 1996
    • Registered Vascular Technologist – 2005
    • Certified in Respiratory Therapy/Respiratory Care Practitioner
    • University of Iowa adjunct faculty member
    • Special interest in Orthopedics, Movement system imbalances, vertigo, neurological rehab.
    Troy joined SMS in 1996 and became co-owner in 2020.

    Amanda Rausch PT, DPT

    • Doctorate of Physical Therapy, Des Moines University - 2012
    • Bachelors of Biology, University of Northern Iowa - 2009
    • Special interests include Orthopedics and is a preferred provider for Graston Technique Instrument Assisted Soft Tissue Mobilization
    Amanda joined Special Medical Services in July of 2012.

    Becky Gesell PT, DPT, ATC

    • Doctorate of Physical Therapy, Clarke University - 2014
    • Bachelors of Athletic Training, University of Northern Iowa - 2011
    • Certified in Dry Needling.
    • Special interests include Pediatrics and Sports medicine
    Becky joines Special Medical Services in August of 2014

    Nichole Hemming PT, DPT

    • Attended Western Illinois University, Bachelor in Medical Sciences
    • Midwestern University, Doctorate in Physical Therapy
    • Special interests include Geriatrics and Balance Impairments
    • Nichole takes care of all our inpatient acute care and skilled nursing cases. 
    Nichole joined Special Medical Services in 2017.

    Jeffrey Krall PTA, RVT, CRT/RCP

    • Registered Vascular Technologist – 1993
    • Certified in Respiratory Therapy/Respiratory Care Practitioner – 1988
    Jeff has worked at Special Medical Services since 1985. He serves as Manager of the Respiratory, Cardiopulmonary,and Vascular Diagnostic departments and his primary duties lie in this area. However, he also assists PT’s with both inpatient and outpatient care when needed. Jeff performs Carotid, Arterial, vein screening and Venous Duplex Ultrasound, along with Vascular screening.

    Terry Schrader CRT/RCP, Office Manager

    • Certified in Respiratory Therapy/Respiratory Care Practitioner in 2000.
    Terry began working full time in Special Medical Services in 1991. She graduated from Hamilton Business College and California College of Health and Science. She performs daily office activities including payroll, accounts receivable and payable, along with patient scheduling, filing, and patient charges. Terry also assists PT’s and PTA’s with patient care, including both inpatients and outpatients. Other duties include involvement in Stress Testing, EKG’s, Holter Monitors, and Pulmonary Function testing.

    Cathy Tuttle PTA, CRT/RCP

    • Certified Respiratory Therapist/Respiratory Care Practitioner - 1999
    Bette graduated from California College of Health Sciences. She has worked for Special Medical Services since 1992 working closely with PT’s and PTA’s inpatient care, including both inpatients and outpatients. Other duties include respiratory treatments, Stress Testing, Holter Monitors, EKG’s, and Pulmonary Function testing. Bette also works with patient scheduling, filing, and patient charges.

    John McLaughlin PTA

    • Physical Therapist Assistant – 1995
    John graduated from South Central College in Albert Lea, MN as a Physical Therapist Assistant. He has worked for Special Medical Services since 1998 and his primary duties involve outpatient and home physical therapy, working closely with PT's to assist with patient care.

    Emily Stowe PTA

    • Physical Therapist Assistant - 2013
    Emily graduated from NIACC as a PTA in 2013. Emily's primary duties here will include assisting PT's with patient care, including both inpatients and outpatients. Other duties include EKG's as well as office duties such as patient scheduling, filing, and patient charges.

    Ashley Lawson PTA

    • Physical Therapist Assistant - 2014
    Ashley graduated from NIACC as a PTA in 2014. She has been employed previously in Dubuque for 1 year in Skilled Nursing, Home Health, and Outpatient Services. Ashley's primary duties here will include assisting PTs with patient care, including both inpatients and outpatients. Other duties include EKG's, Holter Monitors, as well as office duties such as patient scheduling, filing, and patient charges.

    Kayla Jacobs PTA

    • Physical Therapist Assistant - 2018
    Kayla duties include EKG's, Holter monitor setups, patient scheduling, filing of charts, patient charges, patient care of inpatient and outpatients, assisting of therapists to carry out plan of care. Interests are gait deviations, balance impairments, neural pathologies, patients wtih TBI's and working with patients on their personal goals to improve functions of daily living, and IASTM.