Meet Our Staff


Dr. Craig Lapenski

Dr. Craig Lapenski is one of only 24 board-certified NUCCA practitioners worldwide. He is a strong proponent of active health and the empowerment of the patient in the healing process. Dr. Lapenski has been drawn into the study of the upper cervical spine because of the impact it has had on his own health, and the profound impact he has observed it having on the thousands of people he has cared for. He believes that adopting a proactive health care model for yourself is one of the best decisions you can make in your life, and that the most foundational component to being healthy is good brain/body communication.

The study of the upper cervical spine continues to fascinate him with its level of complexity, as well as its impact on global health and well-being. His approach - and Advanced Spinal Care's methodology as a whole - is an unparalleled commitment to the study and correction of each person's upper cervical misalignment. Akin to a locksmith endeavoring to figure out the exact specifics for each lock, Dr. Lapenski meticulously examines each patient who comes through his door, seeking to detect and correct each person's greatest detractor of health in a way very few can.

Dr. Lapenski is happily married with 4 children. He enjoys hiking, fishing, and the outdoors, and is a committed Christian.

Dr. Lapenski’s credentials:

  • NUCCA Board Certified Part III (only 24 worldwide)
  • President of Upper Cervical Research Foundation
  • NUCCA Board of directors
  • Co-Chairman Certification and Standards of NUCCA
  • Credentialed Instructor NUCCA
  • Finance Chairman NUCCA
  • Pre-chiropractic, Central Washington University
  • Honors graduate/President’s list, Palmer College of Chiropractic
  • Member of Phi Beta Kappa Honor Society
  • Member of Delta Sigma Chi, the world’s oldest professional chiropractic fraternity
  • NUCCA member since 1996
  • Extension Faculty Member – Palmer College of Chiropractic Founder of ASC Associate Doctor Training Program
    Researcher
  • Private Practice Washington State

Dr. Angela Manzanares, D.C.


Dr. Angela Manzanares is a Florida native whose passion for delivering the highest quality of upper cervical care to her patients brought her to work with Dr. Lapenski and the team at Advanced Spinal Care in Graham, Washington. She graduated from Palmer College of Chiropractic, Florida Campus in 2021 and worked at a NUCCA exclusive office in Ohio to gain clinical insight and skills in the NUCCA protocol.

Prior to her time as a NUCCA practitioner, Dr. Manzanares served as an aviation officer in the U.S. Army where she flew the Apache airframe made by Boeing. Prior to that, she graduated from The United States Military Academy with an honors degree in mechanical engineering. Her engineering mindset and attention to detail with quality service makes her an exceptional addition to the team at Advanced Spinal Care. Her heart for service is evident in the way she cares for her patients and works with them to reach their highest health potential and goals.

Dr. Manzanares enjoys staying physically active and fit through weightlifting and exercise and has a special interest in nutrition. She enjoys hiking with her husband and their two dogs, as well as attending church services and events and being involved in the local community. She does outreach events such as health talks and spinal screenings for businesses looking to connect their employees to preventative healthcare. Contact the office to have Dr. Manzanares featured at your next workplace event!

Dr. Manzanares’s credentials:

  • Level II Candidate for Board Certification, NUCCA
  • Summa Cum Laude Honors, Palmer College of Chiropractic Florida
  • Academic Excellence Award and President’s List, Palmer College
  • James Buerkle Award Nominee, Palmer College
  • Vice President of the Palmer Upper Cervical Club, Palmer College
  • President of the Veteran’s Club and Student American Chiropractic Association, Palmer College
  • Honor graduate, West Point class of 2015
  • B.S. in Mechanical Engineering, The United States Military Academy
  • Army Aviation Officer, AH-64D Apache Airframe
  • NUCCA member since 2020
  • NUCCA Associate Doctor in Ohio State
  • NUCCA Associate Doctor in Washington State
Dr. Manzanares

Shiloh Hoeschen


Shiloh Hoeschen

Shiloh Hoeschen is the Office Manager at Advanced Spinal Care. She finds fulfillment in interacting with people and making a positive impact on their day. Shiloh has 25 years of experience in the retail and customer service industry. She has been a retail business instructor for 16 years, working with businesses to fine-tune their business practices, efficiencies, and customer service experience. She continues to coach and train in the industry as a consultant. She enjoys working at Advanced Spinal Care because she can witness firsthand the positive impact patients experience in their quality of life as a result of having their nervous system regularly monitored and adjusted.


McKinzi Means


McKinzi Means is the Office Assistant at Advanced Spinal Care. You will see her in the office helping with paperwork, patient care, and daily office operations. She loves helping patients get the best possible care for their lives as well as collaborating with the Advanced Spinal Care Team on effective ways to deliver such care. McKinzi graduated with her associates degree in 2022 and is currently working on her bachelor’s in human resources. She worked in childcare for 6 years and is the oldest of seven. She enjoys working at Advanced Spinal Care because she knows that NUCCA can not only properly align someone’s head and spine, but also change their life!

Shiloh Hoeschen

Ready to schedule your appointment with Dr. Lapenski? Then call 253-445-8181 or click the button below to get started!

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