Strength That Aligns With Your Story

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Testimonials

"Trey's real care and desire to help patients attain their goals from walking pain free to performing their best athletically is what separates him from many others. He will meet you wherever you are at and give you support that you’ve never experienced from a healthcare professional before!"
- Malachi

"I’m incredibly thankful for Trey and the support he gave me on and off the court. What could’ve become a serious Achilles issue never did, thanks to his care and dedication. He helped me get stronger, feel better, and move with confidence again.His constant support and encouragement went beyond exercises and rehab sessions. He always showed up with genuine care, listened when I needed to talk, and offered advice that kept me grounded and motivated. Trey didn’t just help me recover, he helped me grow.I would recommend Trey to anyone. No matter what stage of life, fitness or injury you are at he will make you better. Trey knows so much and is great at his profession."
- Kephas

"Trey is one of the most wonderful people I have had the pleasure to meet and work with. I suffer from EDS, a hypermobility diagnosis, and in the 6 months I have been seeing Trey I have been making marked improvements. I have Never felt this supported from a healthcare professional. Everything is presented in a way that I can easily understand, and I am always met where I am at. Thank you Trey for all of the amazing work!"
- Chikori

"Trey has been super helpful and supportive through all of my injuries (because he's the only one I trust to deal with them!) and consistently provides the type of quality care and accessibility I want. Big on the accessibility - as a person, not just as a PT, he will go far and beyond for his clients to meet their needs. He's got your back!"
- Charlie

"After just one week of doing the exercises, my shoulder pain was gone. I play tennis and pickleball every day, as many as five hours a day and sometimes minor ailments have arisen. It is because of Dr. Larant that I have been able to maintain this schedule. I was so very satisfied from start to finish. He was truly the BEST OF THE BEST!!"
- Angela

"Trey is the absolute best, he has helped me through injury, build strength, flexibility, and is just a great human."
- Kristal

1. Who do you work with?
I work with transgender, nonbinary, and gender-diverse individuals, as well as cisgender clients of all ages. Whether your goal is recovery, pain relief, improved mobility, or building strength, my programs are designed to be inclusive, affirming, and personalized.2. Where are your services available?
I offer online coaching and recovery programs worldwide. All online sessions are conducted via secure, HIPAA-compliant video platforms.3. Do I need a referral from my doctor?
No referral is needed to work with me directly. However, I’m happy to coordinate with your healthcare providers to make sure you receive well-rounded care.4. Do you take insurance?
Currently, I operate as a cash-based service and do not bill insurance directly. Since I am licensed in Washington State, some clients who reside there are able to submit receipts for possible reimbursement—check with your provider / reach out to me for details.5. What kinds of programs do you offer?
I provide customized plans for:
- Post-injury or post-surgery rehab
- Pre-surgery preparation
- Mobility and flexibility improvement
- Pain management strategies
- General strength, conditioning, and endurance training
- Sport-specific performance programs6. How do online sessions work?
After a detailed intake and movement assessment, I create a plan tailored to your goals, lifestyle, and equipment access. You’ll have regular check-ins via video call, exercise demos, and ongoing messaging support.7. Can you help me even if I haven’t had surgery?
Absolutely. Many of my clients work with me to prevent injury, improve posture, manage chronic pain, or increase overall fitness—no surgery required.8. Can you create programs I can follow independently?
Yes—if you prefer a self-guided approach, I can design a detailed plan with video demonstrations, progress tracking, and built-in modifications so you can confidently work out on your own.9. Do you specialize in any particular conditions or needs?
I have extensive experience working with:
- Gender-affirming surgery recovery
- Chronic pain and injury rehabilitation
- Joint health and mobility issues including hypermobility disorders
- Strength training for beginners to advanced athletes
- Sports performance for all athletes, especially runners10. How soon after surgery or injury can I start?
It depends on your doctor’s clearance and your healing process. Many clients start with gentle mobility and swelling management within days after their procedure before progressing to strengthening.11. Can you help with scar tissue or restricted mobility?
Yes— I work to educate you on scar mobilization, targeted stretching, and progressive strengthening. This is a core part of my programming for those who need it.12. What if I have ongoing medical issues or complex needs?
I regularly adapt programs for clients with multiple conditions, past injuries, or ongoing health concerns. Your plan will be adjusted to your current abilities and medical situation.