The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.

Christopher A. Juels, D.P.M.
Professional, kind, and hard working. He listens to you and gives the best care possible.
Matthew Finn, PA
I felt very safe that he knows what he's doing. He explained things very well and answered all my questions.
Emily Ford, PTA
Great therapist, answered all of my questions, gave me encouragement in my recovery
Walter Jermakowicz, M.D.
Caring and throughout
Shawn Stachler, D.O.
Very Considerate and knowledgeable
Katie Taylor, PT
Very easy to work with
Kenneth Grinspun, M.D.
Examined my knee after a sudden fall. X-rays were made. He reassured me my knee would be ok in a few days. Also saw that my arm abrasion was taken care of by Katy. I’m very pleased!
Gregory Roberts, M.D.
Very nice and understanding and explains everything to u.
Joseph Jestus, M.D.
Visit went well and was on time.
Zsachlayne Roguska, PA
She was absolutely amazing, very professional, respectful, and listened to all of our concerns.