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Matthew Rooks has a diverse work experience spanning several companies. Matthew began their career in 2010 at Active Physical Therapy as an Exercise Physiologist, where they worked until 2012. From 2012 to 2017, Matthew worked as an Independent Contractor at Rooks PT. In 2017, they joined OhioHealth as an Administrative Intern for a brief period of five months. Following that, they joined Mid-Ohio Emergency Services in 2017 and held the role of Senior Project Manager until October 2021. Currently, they serve as the Vice President of Operations at the same company.

Matthew Rooks completed their Bachelor's degree in Kinesiology and Exercise Science at Ashland University from 2005 to 2009. In 2016, they pursued further education and obtained a Master's in Healthcare Administration (MHA) from Franklin University, which they completed in 2017.