Alex Vanderholm graduated from Manson High School in 2014 and earned his Doctor of Physical Therapy (DPT) from Rocky Mountain University of Health Professionals in 2024. As a former patient at the clinic where he now works, Alex is passionate about giving back to his community. His dedication to physical therapy stems from his love of helping people get back to doing what they love.

He enjoys sports, staying active, and spending time outdoors, as well as relaxing with family whenever possible.

Beth Shaw is a Physical Therapist Assistant (PTA) and Certified Lymphedema and Wound Therapist (CLWT) who joined the Lake Chelan Health Rehabilitation Department in September 2017.  She received her degree from Whatcom Community College in Bellingham, WA.  Beth works with the physical therapist to provide outpatient and inpatient physical therapy for adults as well as wound and lymphedema care.

Beth enjoys outdoor activities and spending time with her family.

Debbie Markham is a registered physical therapist who graduated from the University of Puget Sound in 1981. With a a diverse work experience she spent 25 years in pediatrics working at Shiner’s Hospital in Spokane, Children’s Hospital and Medical Center in Seattle, and working privately in pediatrics treating a variety of children with orthopedic needs, neurological conditions, birth defects and doing wheelchair assessments. The past 16 years have been in Home Health serving a variety of populations. She enjoys working with a variety of patients from newborns to our geriatric population.

In her off time she enjoys spending time with her husband of 38 years and her family.

Jeff England specializes in orthopedic therapy for both acute and chronic pain, post surgery, sports and work-related injuries. England earned his undergraduate degree from Brigham Young University in 2003 and Doctorate degree in physical therapy (DPT) from Eastern Washington University in 2007. He is a Board-Certified Orthopedic Care Specialist (OCS), Board-Certified Sports Therapist and  Therapeutic Pain Specialist (TPS).

Jeff enjoys spending time with his wife and three children in the outdoors, being involved in their kids sports programs and serving in his church.

Eli grew up in Brewster, WA and graduated from Corbin University in Salem, Oregon with a bachelor’s degree in health science. He went on to get his Doctor of Physical Therapy degree from The University of St. Augustine for Health Sciences in San Marcos, California. Prior to coming to work with Lake Chelan Health he managed an outpatient physical therapy clinic in Okanogan, WA. He was a multi-sport athlete and played baseball at the collegiate level. He believes in making meaningful connections with people and helping guide patients through rehabilitation and recovery to allow people to get back to optimal function and activity.  

He enjoys the outdoors hiking, fishing, hunting and camping. As well as attending local sporting events and spending time with his wife and kids (5^th generation Brewster residents). “North Central Washington is my home, and I am excited to serve the area in the best way I know how”. 

Javier Ascanio earned his Doctorate in Physical Therapy (DPT) in 2020 from University of Nevada, Las Vegas. Javier is a board certified Orthopedic Clinical Specialist (OCS) and board certified in Wound Care (CWS). Following his doctorate, Javier completed a post-professional orthopedic residency with Memorial Hermann Sports Medicine and Rehabilitation where he had the opportunity to work with individuals of all ages, including high level athletes. Javier’s philosophy when treating is that the best treatment is centered around the patient’s values and goals using the best available evidence. Javier is also a Certified Strength and Conditioning Specialist (CSCS), volunteering with the local school athletic programs. Javier earned his undergraduate degree from Brigham Young University where he also met his wife.

In his off-time, Javier enjoys volunteering with the Manson Fire Department as a Firefighter/EMT and spending time with his wife and three boys in the outdoors.

Susan Ropp is a physical therapist with more than 40 years of experience serving patients in both rural hospital and outpatient settings. 

She earned her Bachelor of Science in Physical Therapy from the University of Washington, a Master’s Degree in Rehabilitation Medicine with a focus on pediatric leadership and rural health, and a Doctorate of Physical Therapy with a Certificate in Practice Management. 

Susan has experience treating patients of all ages, with clinical interests that include pediatrics, neurological rehabilitation, vestibular therapy for dizziness, balance and fall prevention, and post-surgical recovery. She has spent the past 24 years working in rural hospital systems in Colville and Chewelah, Washington, as both a staff physical therapist and Rehab Services Manager. 

She is an active member of the American Physical Therapy Association (APTA) at the state, academy, and national levels, serving in numerous leadership roles including State Chapter Board of Directors, Legislative Chair, Vice President, and President, as well as serving in a variety of leadership and advocacy roles. 

Susan moved to Chelan in 2025 with her husband, Brian, two dogs (Sangio and Macie), and enjoys spending time with family, traveling, crafting, and outdoor activities.