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Josh Garraway has a diverse work experience, starting in 2006 with their role as Co-Owner, General Manager, Fitness Manager, and Personal Trainer at Energy Fitness. Josh then worked as a Rehab Director at CareFirst Medical Associates from 2008 to 2009. From 2009 to 2011, they served as a Therapy Coordinator at Reliant Rehabilitation Hospital. In 2010, they briefly worked as the Facilities Director/Office Manager at Abilene PainCare. In 2012, they joined UDM Medical Services as an Account Executive and later became the Vice President of Operations. In 2013, they joined Advanta Genetics as the Vice President of Operations and eventually became the Chief Operations Officer in 2017. Josh also worked as an Account Executive at Advanta Toxicology during the same period.

Josh Garraway attended Hardin Simmons University from 1996 to 1999, although the specific degree obtained and field of study are unknown. Following this, from 1999 to 2002, Josh studied Kinesiology and Exercise Science at The University of Texas at Austin, completing a Bachelor of Science degree.