He began his chiropractic practice in 1977 and then in 2004, he became the Supervisor of Diagnostic MRI for the Physicians Group. In 2008, Dr. Piana pursued studies in Chiropractic Acupuncture and received a Diplomate in Chiropractic Acupuncture (Dipl. Ac.) in September 2009. He provides a range of alternative health care services to his patients in one convenient location.