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.

Matthew Finn, PA
He was great he took his time and explained everything 💯😊
Tammie Dyer, PTA
Tammie was great to work with! She helped me when I first started and could barely move my knee. She showed me how to do my exercises correctly. Worked with me every step of the way.
Taylor Dennison, M.D.
Very informative to my questions
Brian Huff, D.O.
Dr. Huff is very caring, gentle and definitely knows what he's doing when setting a bone
Bridgett Guidish, PT
Very polite
Michael Pahl, M.D.
I always have a pleasant appt with Dr Pahl, he’s very knowable and treatment Ida always helpful. Thank you Dr Pahl and staff, all are outstanding!
Joseph Jestus, M.D.
Dr Jestus is not only an exceptional surgeon, he is a great guy also. He is always personable and concerned. About 20 years ago he helped me more than he will ever know when my father was in critical condition at the Hospital. And my father wasn’t even one of Dr Jestus‘s patients. I will never forget it.
Richard Burks, PT
Very knowledgeable , professional, friendly
Shawn Stachler, D.O.
Dr. Stachler is so awesome to his patients and beyond super intelligent. We are blessed to have him here
Brian Huff, D.O.
Dr. Huff is very professional with a good bedside manner. He explains details well.