Specializations & Training Therapists at Sapphire are encouraged to pursue their interests in delivering the highest quality of care to their patients. Specialized certifications:Integrated Dry Needling (IDN): John Fiore and Jesse DupreOrthopaedic Manual Therapy (NAIOMT): Jesse DupreCertified Strength and Conditioning Specialist (CSCS): Ben Blakely and Andrew TraverLSVT Big: Aly FreitagInstitute of Clinical Excellence - Pelvic Level 1 and 2: Aly Freitag