Meridian Physical Therapy


(253) 841-3041
(253) 841-3061
1707 3rd St SE
Puyallup, WA 98372
Clinic Hours:
Monday – Friday 7am – 7pm
Saturday 8am – 1pm

By appointment only. Last appointment scheduled one hour before closing to allow for appropriate treatment time.

Meridian Physical Therapy and Rehabilitation Clinic is an orthopedic outpatient clinic located in Puyallup that is a part of the Meridian Rehabilitation Center.   We are conveniently located near Good Samaritan Hospital and the Puyallup Fairgrounds just off of highway 512.  Our clinic offers skilled staff who value our patients and their care providers best interests.

The staff at Meridian Physical Therapy In Puyallup is knowledgeable in manual techniques to maximize joint alignment, stability, and mobility of the spine and extremities. These manual skills include: cross-friction massage, myofascial release, soft tissue mobilizations, joint mobilizations, and muscle energy techniques. Postural education, ergonomics, body mechanics, injury prevention, neurological reeducation, coordination exercises, core strengthening, strength training and flexibility, range of motion movements are provided in the clinic and for home use to maximize the attainment of your goals.

Pain relief techniques and modalities such as hot/cold packs, ultrasound, electrical stimulation, support wraps, iontophoresis, and/or traction may be received along with the tools for prevention. We work with all goals and expectations to achieve optimal outcomes while promoting a safe and comfortable environment.

Same Day Appointments Available.  Call to schedule today (253) 841-3041.


– Lymphedema Treatment –

Lymphedema is an abnormal accumulation of fluid between the skin and muscles of the body after the lymphatic system has been damaged. The accumulation of fluid in the affected area causes swelling. Treating Lymphedema with Complete Decongestive Therapy (CDT) consists of three components of treatment for lymphedema, including; manual lymph drainage (MLD), compression therapy, and exercise. All components are integral parts of a lymphedema treatment program.  We are Puyallup’s Lymphedema specialists and offer a Lymphedema Treatment program which helps alleviate pain and swelling associated with Lymphedema.

– Aquatic (Pool) Therapy –

Aquatic physical therapy is a well established and very successful form of physical therapy treatment.  This program has incorporated the properties of buoyancy and resistance with warm water (90 degrees) to help diminish the effects of an injury or disease.  Our aquatic physical therapists have extensive training and experience specific to pool therapy. For more information on aquatic therapy treatment click here.


– Work Therapy / Industrial Rehabilitation –

Meridian Physical Therapy In Puyallup offers a comprehensive industrial rehabilitation program with the goal of returning injured workers to their jobs quickly and safely.  Our industrial rehabilitation program is a multi-disciplinary program, where injured workers work with both occupational therapy, as well as physical therapy.  We offer a variety of industrial rehabilitation services, all designed to return the injured worker to work.  Services include Physical Capacity Evaluations, work conditioning and work hardening programs.


- Services -

Puyallup (Meridian Physical Therapy) provides expert care for a wide range of conditions, click the links below to learn more or call to schedule with a Physical Therapist.

Aquatic Therapy
Back Care
Balance Training/ Fall Prevention
Biomechanical Evaluation
Elbow and Wrist Care
Epley Maneuver/ Vestibular Rehabilitation
Foot and Ankle Care
Gait Training
Hip Care
Hippotherapy (Horse Therapy)
Industrial Rehabilitation
Kinesio Taping
Knee Care
Lymphedema Treatment
Manual Therapy
Massage Therapy
Motor Vehicle Injuries
Neck Care
Nutrition Counseling
Occupational Therapy
Orthopedic Rehabilitation
Pediatric Physical Therapy
Personal Training
Posture and Body Mechanics Training
Pre-Surgical Wellness
Prenatal and Postpartum Massage Therapy
Shoulder Care
Spinal Rehabilitation
Sport Specific Therapy and Rehabilitation
Work Conditioning
Work Hardening

- Staff -

Bill Bio3

Bill Pfister, Jr., DPT, CLT

Doctor of Physical Therapy, Clinic Director Bill Pfister Jr. received his B.S. in kinesiology with an emphasis in Pre-Physical Therapy from California State University Hayward. There he played collegiate basketball, was the team captain, and earned an Academic All-American award. He then went on to receive his master’s degree in Physical Therapy from Rutgers University and the University of Medicine and Dentistry of New Jersey in 2003. His training includes neurological rehabilitation, sports and orthopedics with a specialization in lymphedema and brachioplexopathy rehabilitation. As the Managing Director of Meridian Physical Therapy and Athletic Rehabilitation since 2005, his innovation and passion for helping people achieve their rehabilitative goals. Bill is considered to be an expert in post-operative spine rehabilitation and as such has spoken at neurosurgical conferences amongst some of the world’s most esteemed neurosurgeons. He also teaches continuing education courses regarding neurodynamic mobilization of the upper/lower extremities. His forward thinking and entrepreneurial mindset helped him create a rehabilitation center approach to care incorporating massage therapy, chiropractic, physical therapy, and lifestyle medicine in an effort to accelerate rehabilitation outcomes.
  • Bachelor's of Science in Kinesiology from California State University
  • Masters in Physical Therapy from Rutgers University and the University of Medicine and Dentistry in New Jersey
  • Doctorate of Physical Therapy from Evidence in Motion

Jayme Lu-Garrigan, DPT

Doctor of Physical Therapy Jayme earned her Doctor of Physical Therapy degree from Long Island University, NY. After working mainly in outpatient care, Jayme has experience treating a wide range of ages, as well as different types of injuries. She is passionate about and has been actively involved in the Crossfit Industry as an athlete and coach for the last six years. Jayme’s involvement has granted her the opportunity to treat a vast array of sports-related injuries, in addition to providing preventive care. As a San Francisco native, Jayme enjoys traveling and learning about different cultures. She has had the pleasure of working, living in and exploring various parts of the country, which has allowed her to appreciate interaction with many people.
  • Doctorate of Physical Therapy from Long Island University in New York
  • Bachelors of Science in Kinesiology with an emphasis in therapeutic rehabilitation from California State University, Los Angeles in California

John Payne, DPT, OCS

Physical Therapist John received his B.S. from Brigham Young University in Exercise Physiology. He then went on to receive a Masters of Physical Therapy at the University of Utah. He moved to Washington where he worked in a private practice in outpatient orthopedics and then returned to the University of Utah a year later to complete a Doctorate in Physical Therapy. John has worked in outpatient orthopedics for 12 years and has recently become a board certified Orthopedic Clinical Specialist (OCS). He enjoys employing manual therapy skills with exercise and movement to help his patients restore their active life styles. He has worked in management positions and begun a  work conditioning/work hardening program. John is a busy father of four and enjoys the outdoors; hiking and camping when he can but most of his time he can be found working on home improvement projects around his house. He also owns and operates a horse boarding facility, where he performs hippotherapy.
  • Bachelor's of Science in Exercise Physiology from Brigham Young University
  • Masters and Doctorate in Physical Therapy from University of Utah
Alastair Fraser, PTA Bio

Alastair Fraser, PTA

Physical Therapist Assistant Alastair earned his PTA degree in January of 2012. He has had an interest in physical therapy and biomechanics for many years, spending time prior to PTA school learning about biology and kinesiology from research articles and texts.  Alastair continues his learning by keeping up to date with new research and ideas being used in the PT and sports science fields. He likes to bring a positive energy and exercise focus to his treatments in an effort to not only improve his client's condition, but encourage a lifestyle of improved physcical condition. When not at the clinic, Alastair enjoys spending time with his young daughter, playing softball, cycling or talking football.
Daniel Parsons, PTA

Daniel Parsons, PTA

Physical Therapist Assistant Dan joined the RET Physical Therapy team in 2017 and is excited to be working in the Meridian work rehabilitation department. He has over 25 years of clinical experience in patient care. Dan’s vast experience includes military medicine, inpatient and outpatient settings, and outpatient orthopedic. He is enthusiastic, with a friendly calming demeanor and has a strong interest in biomechanics and functional mobility. Daniel has specialized training as a movement specialist which translates well to the industrial rehab world, contributing to the teaching of proper mechanics with work activities.
  • Associates of Applied Science Physical Therapy from Broome Community College in Bingham New York
  • Clinical Internship in movement specialty

Joseph Nash, LMP, PTA

Physical Therapist Assistant, Licensed Massage Practitioner Joe has been practicing massage therapy for the last 3.5 years while attending Green River College. He earned his Physical Therapist Assistant degree in June, 2016. His achievement has allowed Joe to follow his passion of empowering individuals to be their best, physically and mentally. Joe enjoys volunteering at church, traveling to the ocean, vacationing, golfing and having movie nights with his family. He looks forward to furthering his knowledge and abilities through serving his community.
  • Certificate of Massage Therapy from Ashmead College, 1999
  • Associates of Applied Science in Physical Therapist Assistant from Green River College, 2016
Toni Ruth, PTA Bio

Toni Ruth, PTA

Physical Therapist Assistant Toni Ruth received her Physical Therapist Assistant degree from Green River Community College in 2011, and since, has found her calling to be focused in an outpatient orthopedic setting. She has maintained a diverse background working with a variety of settings including: outpatient orthopedics, skilled nursing/geriatric, industrial rehabilitation, pain management, and aquatics. In her free time she enjoys being active in athletics, arts and crafts, going to sporting events (GO HAWKS!), and spending time with family and friends.
  • Physical Therapist Assistant Degree from Green River Community College, 2011

Brenna Tormanen, PTA

Physical Therapist Assistant Brenna earned her degree as a Physical Therapist Assistant from Green River College in June of 2019. She grew an interest in anatomy and kinesiology from over 15 years of ballet, which further developed into an interest in rehabilitation through her own experience as a physical therapy patient. She experiences the greatest amount of joy from her career when she sees her patients return to what they love to do. Her plans for continuing education primarily include dancer rehab, Schroth for scoliosis, Parkinson’s disease, and the neuroscience of pain. When not in the clinic, she may be found dropping into ballet classes, spending time with family, or simply staying at home with her dog to read and play video games.

Olivia Willingham, OTR/L

Occupational Therapist Olivia received her Master of Occupational Therapy in December 2016 before moving to Seattle to begin her career. She has clinical work experience in outpatient pediatrics with a focus on sensory integration and interoception (body awareness). She has clinical internship experience in outpatient orthopedics with a focus on upper extremity injury rehabilitation. Olivia finds joy in helping her patients reach their functional goals, and is passionate about evidenced-based practice and continuing her education to better her patient care. In her spare time she can be found reading, practicing yoga, and chasing after her three pets with her boyfriend.
  • Master of Occupational Therapy, Texas Woman's University, 2016
  • Bachelor of Science in Child Development, Summa Cum Laude, Texas Woman's University, 2015
  • Washington Occupational Therapy Association (WOTA)
  • American Occupational Therapy Association (AOTA)

Ann Viviano, MS OTR, MA CCC-SLP

Occupational and Speech Therapist Ann is a Meridian occupational therapist as well as a speech therapist with extensive experience in combining occupational therapy and speech pathology. Ann received her Bachelor’s Degree in Occupational Therapy from Colorado State University. She then went on to receive her Master’s Degree in Occupational Therapy from Western Michigan University, and in Speech-Language Pathology from University of Northern Colorado. In addition, she had Neurodevelopmental Therapy Training in Pediatrics from the Bobath Centre in London. Ann’s work experience as a pediatric therapist and her love of horses led to her passion for hippotherapy.
  • Master’s Degree in Occupational Therapy from Western Michigan University
  • Master’s Degree in Speech-Language Pathology from University of Northern Colorado
  • Bachelor’s Degree, Occupational Therapy, Colorado State University
  • Neurodevelopmental Therapy Training in Pediatrics, Bobath Centre, London
  • Completed an Equine Science Certificate

Emily Nugen, MOT, OTR/L

Occupational Therapist Emily received her Masters in Occupational Therapy in December of 2016. She has clinical internship experience in pediatrics and industrial rehabilitation. She has a passion for working with her patients to help them return to doing the activities that they love. She is also very involved in the Washington Occupational Therapy Association and serves on the conference committee. She enjoys advocating for OT, and creating relationships with OTs from around the state. In her spare time Emily loves watching the Seahawks, creating digital invitations, and trying new foods with her husband.  
  • Bachelors of Arts with a Minor in Special Education, Eastern Washington University, Cheney, WA
  • Master in Occupational Therapy from Eastern Washington University, Spokane, WA
  • Washington Occupational Therapy Association (WOTA)

Amberlyn Gray, COTA/L

Occupational Therapy Assistant Amberlyn joined the RET team in 2017 and runs the Work Hardening Program in the Meridian Industrial Rehabilitation Department. She graduated from Pima Medical Institute in Renton, WA with an Associate Degree in Occupational Therapy. She has worked in various settings such as Orthopedics, Skilled Nursing, Hand Therapy, Outpatient and Inpatient. She has a passion working with the industrial population and enjoys being creative with job simulations in therapy. Her drive is helping patients succeed and get back to what they love to do. In her leisure time, she enjoys home improvement projects, traveling with her husband and scrapbooking.
  • Associates in Occupational Therapy, Pima Medical Institute, Renton, WA

Margret Lyons, RDN, CD

Registered Dietitian Nutritionist, Certified Dietitian Margret graduated from Bastyr University with her baccalaureate degree in Nutrition and Dietetics. She practiced her dietetic internship at Good Shepherd Medical Hospital, The Institute for Healthy Living, and The University of Texas Health Science Center in northeast Texas. Margret has practiced in a variety of settings including acute care for adults, neonatal nutrition, diabetic education, bariatric and weight loss nutrition, and outpatient counseling. Her counseling technique utilizes motivational interviewing to help patients reach goals that are important to them and maintain results over a lifetime. Margret’s passion for health does not end with nutrition. In her leisure time she hikes in the Cascade Mountains and scrambles up local peaks. She is a former bike racer and current marathon runner.  When she is not running she enjoys fly fishing, gardening, and tasting cuisine from all parts of the world.
  • Bachelor of Science and Nutrition, Bastyr University 2015.

- Reviews -

Paul Douglass
Paul Douglass
05:22 17 May 19
The Physical Therapists at Meridian Physical Therapy are dedicated to getting you to were you need to be. They set a good therapy regiment and help you to your recovery. I've learned that most of us want instant healing but also as a current patient, I've learned not to push to hard in my recovery. They are there for you, so always let them know your success and your pains. I feel so much better and I know that I'm on track in my personal healing, because I feel it. Good people and great team of caring more
Gary Geddes
Gary Geddes
18:23 14 May 19
My treatment was very professional, caring and quick. My problem was resolved more quickly than any medical issue I have ever experienced. I would not hesitate to return for any such need in the more
Sandra Marl
Sandra Marl
00:01 22 Apr 19
After going through cancer treatment, radiation and shoulder surgery I was in need of a very personalized and diverse physical therapy program and luckily that is what I got. Professional and caring people took care of me and made my progress happen! I would highly recommend this company!read more
Dave Wismer
Dave Wismer
06:02 19 Dec 18
William is a first rate provider. I met with him right after my pre-operation appointment to discuss my recovery following back surgery. William is a great listener and asked all the right questions about my condition. He then provided me verbal and written information about my recovery that made me feel much more at ease about my upcoming surgery. I look forward to working with him in the near future and would highly recommend his more
Jenelle Hoonan
Jenelle Hoonan
15:36 30 Oct 18
At 75 I know a quality class act. I’m so thankful to find the perfect care for my health issue. Plus the positive energy that radiates in the entire staff ...... look no further!read more
See All Reviews

- Testimonials -

“ Amanda came to Meridian Physical Therapy after having surgery on her foot.  When she first started she lacked the movement to walk and the strength as well.  She is now running as well as walking.  We would recommend Meridian Physical Therapy because of the staff here, they were great! Thank you Dr. Salton for sending us here! ”-Amanda
“ I started coming to Meridian Physical Therapy after suffering a really large contusion on my left calf after being struck with a baby gate.  I was having a lot of pain walking and running and even putting any pressure on the back of my leg, for example squatting down, climbing in and out of bed, etc.  After 3 weeks of sessions I am running without pain and my contusion is almost completely healed.  I appreciate Bill and all the staff here for helping me get back to my normal self in such a short amount of time.  I would definitely recommend Meridian Physical Therapy to anyone.  I also appreciate Dr. Dan Haun for referring me to Bill and his practice.  ”-Michelle
“ Since coming to Meridian PT for neck pain I've had fewer flare-ups and less pain.  I feel that continuing to apply what I've learned I will continue to improve the mobility issues as well as strength through exersice.  I would absolutely recommend Meridian Physical Therapy to anyone who needs a physical therapist that will listen to what your body needs and help you heal in a caring and competent manner.  I am so thankful to my therapist for helping me to understand my injury and its effects on my body.  Thank You! ”-Sonya
“ This was the most difficult physical activity I have ever done and I really needed the support and encouragement I received from everyone at Meridian PT. ”-Robert
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