Meet Team Symmetry


One-On-One Physical Therapy

Our specialists lead you through the full rehabilitation process from start to finish. We prepare our patients to reach their recovery by combining our knowledge of injury prevention, rehabilitation, restorative movement, strength/performance training, biomechanics, and sport specific training for a comprehensive recovery program.

We are here to help you overcome injuries, recover faster, and MOVE better than ever.

Miami Physical Therapy

Team Symmetry Physical Therapy

Voted Best Physical Therapists in Miami 2016-2021

Symmetry Physical Therapy is a premier physical therapy clinic providing exclusively one-on-one patient care located in the center of Downtown Miami, FL.

We focus on patient care. Each physical therapy session is with the same therapist and is personalized to the patient's progression and current presentation.



Dr. Natalia Sikaczowski, PT, DPT, CSCS, Cert. DN, BFR-C

Dr. Natalia Sikaczowski founded Symmetry Physical Therapy in 2014 with the fundamental belief that patients should be treated on an individual basis. Dr. Natalia believes patients should be given a diverse array of treatment modalities and techniques, along with progressive and varied exercises and manual intervention to ensure maximum recovery. This all-encompassing approach, along with Dr. Natalia’s strong background in strength and conditioning has led to Symmetry’s successful treatment programs for patients looking to get back into sport, recover from injury, or beat chronic pain.

Clinical Research Director/Clinical Manager

Dr. Raymond Butts, PT, DPT, PhD, MS, FAAOMPT, Dip. Osteopractic, Cert. SMT, Cert. DN, MAACP(UK)

Dr. Butts graduated with honors from the United States Military Academy at West Point with a
Bachelor of Science in Human Factors Engineering and served as a 1 st Armored Division Army
officer in Bosnia-Kosovo and Iraq. He also received a post-graduate, International Masters of
Neuroscience from the University of Tubingen, Germany, where he investigated central
mediated aspects of chronic pain with magnetoencephalography and fMRI. In addition, Dr.
Butts completed a Doctorate in Physical Therapy and a Doctorate of Philosophy in motor
rehabilitation from the University of South Carolina. His PhD thesis explored the use of
transcranial magnetic and direct current stimulation to disinhibit the motor cortex and facilitate
plasticity-dependent, motor recovery. He is one of 300 physical therapists in the U.S. to have
earned a Diploma in Osteopractic. In 2022, he also became a Fellow of the American Academy
of Orthopaedic Manual Physical Therapy, a title earned by only 2% of the physical therapy

Dr. Butts has a strong track record of teaching and research. He has authored or co-authored 28
publications and 31 scholarly articles on physical therapy topics. Over the course of 15
years, Dr. Butts taught anatomy/physiology and biomechanics to pre-healthcare professionals
at Midlands Technical College and the University of South Carolina, respectively, for which he
was awarded the distinguished graduate award. He was also an Assistant Professor at Gannon
University, where he taught gross anatomy, neuroscience, and advanced orthopedics to Doctor
of Physical Therapy graduate students. Over the last 8 years, he coordinated the American
Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical and taught over
250 seminars to Doctoral level participants on spinal manipulation, dry needling, research methodology, cadaver-based
anatomy and pain science. He recently presented evidence-based treatment strategies for
pelvic floor dysfunction and headaches at the annual American Academy of Orthopedic Manual
Physical Therapy Conference and the International PT Conference at Ecole d’Assas
Physiotherapy School (Paris, France), respectively.

Dr. Butts has treated patients with orthopaedic and chronic pain patients since 2008. A recent
part of a medical mission that provided care to Armenian soldiers and families ravaged by war,
he consistently strives to provide exceptional care and achieve extraordinary, patient-centered
outcomes. Dr. Butts is a former competitive rower and has had the unique opportunity to
compete in numerous international and world-class rowing championships. He enjoys the
challenge of working in a fast-paced environment where quality patient care is the standard,
and he is excited to be one of the newest members of Symmetry Physical Therapy.

Dr. Raymond Butts Physical Therapist
Sports Physical Therapist Miami

Doctor of Physical Therapy/Fellow of the American Academy of Orthopedic Manual Physical Therapists

Tessa Gutierrez, PT, DPT, FAAOMPT, AIB-VRC, Dip. Osteopractic, Cert. SMT, Cert. DN

Dr. Tessa Gutierrez graduated with a Doctorate in Physical Therapy from Texas Tech Health Sciences Center in 2008. At Texas Tech she was taught, trained, and guided by other Manual Physical Therapy Fellows who inspired her to someday become one herself. 

She began her career working in a brain injury facility where she treated many athletes, and soldiers who were recovering from TBI.  She was passionate about their recovery, seeking out additional training in vestibular rehabilitation and concussion so that she could give optimum treatment to her patients.  In 2015 Tessa went on to receive her certification in Vestibular Rehab and Concussion from the American Institute of Balance.

Her love for vestibular rehab moved her to an outpatient clinic where she could implement her skills in an outpatient setting and use her passion for manual therapy and exercise to reach a more diverse patient population while still leading the field in concussion and vestibular rehabilitation.

After 10+ years of advanced-level training, Tessa continues to immerse herself in learning the latest techniques to help her patients.  She decided to pursue her dream of becoming a Fellow and was accepted to the American Academy of Manipulative Therapy fellowship where she became an Osteopractor in Dec. 2022. 

 In 2023, she joined the top 2% of Physical Therapists to finish the Fellowship Program, earning her title as a Fellow of the American Academy of Orthopedic Manual Physical Therapists. Tessa is excited to have recently moved to South Florida to become part of the Team at Symmetry PT.

When she is not working, she is hiking, traveling, and is intrigued with learning alternative healing methods as well as meditation practice.  She feels that through daily meditation practice and grounding, she will provide her patients with a safe and comfortable environment to thrive and heal. 

Doctor of Physical Therapy

Dr. Jose Palomo, PT, DPT, Cert. DN, Cert. VCS

Dr. Palomo received his Bachelor's degree from the University of Florida and his Doctorate in Physical Therapy from the University of Miami. He began his career working in outpatient orthopedics in Colorado where he grew a passion working in vestibular rehabilitation.

Dr. Palomo enjoys educating his patients and building relationships with them. He believes healing is not linear and requires multiple factors to be aligned in order for optimal healing to occur. Mental, emotional and physical health are interconnected and Dr. Palomo teaches his patients to be more mindful on all these aspects of health.

Dr. Palomo helps provide his patients with more efficient movement patterns to be more functional in daily life and fix issues that are contributing to the patient's pain.

Physical Therapy Miami
Physical Therapist Downtown Miami

Doctor of Physical Therapy

Dr. Fabrizio Russo, PT, DPT, Cert. DN

Dr. Fabrizio Russo completed his undergraduate degree in Sports and Fitness at Florida International University. After undergraduate schooling, he attended the University of St. Augustine for his Doctorate in Physical Therapy. Since graduating he has worked mainly in his passion of orthopedics and sports seeing a variety of different diagnoses.

Dr. Russo is always striving to learn more and find out new ways to help achieve best outcomes with his patients. He believes in a multi-modal approach to treatment emphasizing improving patient independence to achieve all their goals and get back to their prior level of function. He believes that there is always room for development and becoming a healthier, happier, and improved version of yourself, no matter where you currently are.



Office Manager

Lissette Cruz-Alfonso

Lissette Cruz Alfonso, our Office Manager at Symmetry Physical Therapy. With a rich history spanning 15 years in medical offices, Lissette's journey from front office to office manager is a testament to her dedication and expertise.

Her true joy lies in the patient experience, ensuring each visit is positive and seamless. Beyond the office, Lissette is a devoted mother of three, the driving force behind her relentless pursuit of excellence.

Since joining the Symmetry family, Lissette has embraced our company culture wholeheartedly. She is a firm believer in the value of one-on-one care with our skilled physical therapists. In a short time, she's witnessed remarkable transformations, witnessing individuals return to their daily activities with newfound confidence.

Lissette's enthusiasm for learning in this field is infectious. Her presence is a valued addition to our team, and we're excited to see the positive impact she continues to make on our patients' lives.

Physical Therapy Miami Downtown
Miami physical Therapy administrative coordinator

Administative Assistant

Shenelle Daly

Shenelle Daly brings a multifaceted background to her role at Symmetry Therapy, encompassing administrative assistance and extensive customer service experience. This diverse skill set uniquely positions her to cultivate strong patient relationships within the practice. Her foremost commitment is to ensure patients feel comfortable and receive optimal care.

Shenelle is deeply enthusiastic about expanding her knowledge in the physical therapy field and is dedicated to fostering positive experiences for all patients during their time at Symmetry.

Community Outreach Coordinator

Amy Stratt

As a former patient, my life was truly changed by Natalia. I might be biased but I am their biggest fan because I came in walking with a cane, previously a wheelchair, and in need of major physical therapy after a horrific accident a few years ago. Fast forward and I walked down the aisle at my wedding and never left the dance floor thanks to everything Natalia taught me. I've seen firsthand while being a patient how many lives have been changed by Symmetry. It was a no-brainer for me to join the team because I know what is possible with the right care.

Amy coordinates educational workshops integrating Team Symmetry into Miami gyms and health clubs. She plays a pivotal role in helping to expand local’s knowledge of movement, pain reduction, physical therapy interventions, and injury prevention. She has coordinated repeat events with some well-known establishments such as Orange Theory, CrossFit, CKO Kickboxing, and Team FDC Run Club.

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The Best Massage therapist in miami

Licensed Massage Therapist

Katja Haunschild, MBA, LMT

Katja came to the world of healing through her own injuries and health issues.
A collegiate athlete and fitness enthusiast, she was always interested in improving her health and it led her to expand from her original business degree to sharing her knowledge and experience as a Personal Trainer, then Massage Therapist, teaching Tennis, Yoga, Mat Pilates and elements form her own Martial Arts background with others.

Katja has more than 25 years of experience in the field of healing and fitness and she believes that living one’s life well and to the fullest is a lifestyle and a holistic approach. Her therapeutic bodywork encompasses aspects from all Katja has studied and learned throughout her years in this field and it is still expanding. Modalities she has studied include Reflexology, Tui Na, Hawaiian Lomi Lomi, Thai Massage, PNF stretching, Lymphatic Drainage, Myofascial Release, and more. Katja has the ability to tune into her patients’ needs and use the most beneficial techniques for the best results.

Ready to reach your movement goals? Check your benefits now!


Symmetry Physical Therapy is a privately owned one-on-one, patient-centered physical therapy clinic in Downtown Miami/Brickell. Every treatment is with the same Doctor of Physical Therapy for the entire hour. Symmetry’s specialized, dedicated, and passionate team of physical therapists is fully committed to each patient’s success.

10+ Years as a Therapist Owned Physical Therapy Practice