An orthopedic outpatient physical therapy clinic at 413 Main Street in Neligh, in the Creekwood Chiropractic building. Mark Spier opened the Neligh clinic in June 2018, extending a practice he established in Norfolk; he took his master's in physical therapy at Pacific University in 1991. Three clinicians are named on the door: Mark Spier, MSPT; Kelsey Selting, PT, DPT; and Erinn Schellen, OTR/L, CLT, who brings occupational therapy and certified lymphedema treatment alongside the usual back, shoulder and knee work and sports injuries. The clinic runs by appointment only, on 402-887-5469 in Neligh or 402-371-2722 in Norfolk. Having a physical therapist in town matters in a county this size: the alternative is a forty-minute drive to Norfolk, several times a week, while injured.