ABOUT

Patrick Horst,
DPT, PT, CIDN
Chief Executive Officer
Kristine grew up in Cedar Rapids and attended the University of Northern Iowa for her undergraduate studies. She earned her MBA with a specialization in Data Analytics from Colorado State University in 2020. Since 2015, Kristine has worked in healthcare, gaining in-depth knowledge of medical insurance and administrative operations. Her goal is to help patients feel confident navigating their insurance benefits and ensure a smooth, informed experience from start to finish
Our work brought us together in 2017. In late 2020, we saw an opportunity to better serve our local community and founded Horst Physical Therapy. What began as a shared vision quickly grew into a patient-centered clinic rooted in trust, compassion, and evidence-based care. Since opening our doors, we've been committed to providing personalized, hands-on treatment that empowers individuals to move confidently, recover fully, and live healthier lives. As a locally owned practice, we value the relationships we build and take pride in being an active part of the community we call home.
Kristine Horst, MBA
Meet the Team

Physical Therapist
Rosemary Santoiemma-Klopping, PT, MPT
Rosie is a dedicated Physical Therapist who has been providing compassionate, patient-centered care since joining Horst Physical Therapy in January 2024. She specializes in pediatric physical therapy while also treating patients of all ages in the clinic, allowing her to support a wide range of needs across the lifespan. Rosie is passionate about helping her patients improve their strength, mobility, and confidence in their daily activities, and is expanding her expertise in women’s health.
Rosie has quickly become a valued member of the Horst Physical Therapy team, where she continues to make a meaningful impact through her knowledge and caring approach.
Outside of work, Rosie enjoys spending time with her husband and their two sons and staying active with her family.

Physical Therapist
Kathleen Rippel, DPT, PT
Bio coming soon...

Physical Therapy Assistant
Sierra Higgins, PTA
Sierra graduated from Kirkwood Community College’s Physical Therapist Assistant (PTA) program in 2009 and brings over 16 years of clinical experience to her role. She has had the privilege of working in a variety of settings including hospital-based care, outpatient clinics, long-term care facilities (nursing homes and assisted living), and home health. These experiences have allowed her to expand her skills and deepen her understanding of patient-centered therapy.
Sierra has been a valued member of the Horst Physical Therapy team since April 2022, where she continues to provide compassionate and knowledgeable care to her patients every day. Outside of work, she enjoys spending time with her family and staying active in her community.

















