Karmen graduated from Western Iowa Tech College in 1995 and began working with sports Rehab in 1996. Currently Karmen works as a full-time PTA at the Cherokee Clinic. She became lymphedema certified in 2003. She especially enjoys working with geriatric population in the nursing home and outpatient settings with orthopedic and balance issues. When not working, Karmen enjoys spending time with her husband, James, and their three children and attending their activities.