Get to Know Us a Bit Better

Our Practice

At West River Ear, Nose & Throat, we’re committed to providing you and your loved ones with exceptional care in a compassionate and friendly atmosphere. Located in Rapid City, West River Ear, Nose & Throat is known to be the best Medical Clinic in the area. We believe that our patients deserve the best care, and we make an effort to make sure you always feel welcome and at ease. Whether you’re coming in for a simple checkup or a more complex treatment regimen, our dedicated team of health practitioners has the skills and resources to manage all your health needs. We can’t wait to help you feel better today!


Dr. Troy Howard MD


Dr. Howard completed his medical degree at the University of South Dakota Sanford School of Medicine. He then when on to complete his specialty training at Ohio State University in Columbus, Ohio.

He is a board certified Ear, Nose and Throat specialist. He has a particular interest in pediatric ENT, adult sinus disease, functional nasal surgery, and thyroid surgery. He and his wife, Rachel, are both Rapid City natives and have five children.

His dream has always been to return to the Black Hills to raise his family and serve this community that he loves so much. When he’s not working, you can find him coaching his son’s baseball team or caddying for his daughters on the golf course.

Dr. Rob Schleiffarth MD


Dr. Rob Schleiffarth received his Doctor of Medicine degree from the University of Minnesota and completed his residency at the University of Iowa. His specialties include allergies, head and neck cancer, pediatrics, sialendoscopy and sinus problems. He is a member of the South Dakota Medical Association, The American Academy of Otolaryngology, Head and Neck Surgery, and The American Academy of Otolaryngic Allergy.

Dr. Rob Schleiffarth enjoys working in the pediatric ENT field and helping children with ear, nose and throat problems even providing a prescription of an ice cream cone to some of his patients. He will diagnose ear, nose and throat issues that can lead to snoring problems, balance issues, headaches and even bed wetting in children.Dr. Schleiffarth enjoys spending time outdoors with his wife and two daughters. Among his passions are hiking, camping, and the St. Louis Cardinals.

Dr. Mark Guy MD


Dr. Guy is a hometown guy coming back to his roots. He was born and raised in Rapid and is a Stevens graduate. He joined the WRENT team in March and brings with him over 25 years of ENT experience. He is excited to be practicing in his hometown and looks forward providing the Black Hills area with exceptional ENT care. His interests lie in management of sinus disease and sleep apnea.

JaNell Rubelt, MSN, APRN, FNP-C

Certified Nurse Practitioner

JaNell Rubelt is a Certified Nurse Practitioner (CNP) received her Master’s Degree in Nursing from Chamberlain College of Nursing out of Downer’s Grove, Illinois. She did her clinical training throughout Rapid City. She has a passion for helping others including those who suffer from an array of ENT issues including allergies. As an allergy sufferer herself, she can understand the dramatic toll this health issue can have in a patient’s life. She comes from a small town in Wyoming and has moved to the Black Hills to pursue her nurse practitioner career. She enjoys spending time with her husband and her two daughters as well as their two dogs.


John Burke, MA, CCC-SLP

Speech-Language Pathologist

John Burke is a certified Speech-Language Pathologist who received his Master’s Degree from the University of South Dakota out of Vermillion, South Dakota. He did his clinical training within the areas of the Black Hills of South Dakota that includes Rapid City Regional Hospital and Regional Rehabilitation Institute. John has a passion with working to help others resolve their speech, language, voice, and swallowing impairments in order to assist with increased quality of life for our patients from pediatrics through Geriatrics. Specifically, John has a passionate interest in evaluation and treatment of dysphagia with use of Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and Speech-Language Pathology management/treatment of Chronic Refractory Cough associated with related disorders. He enjoys spending time with his wife and son that includes hiking, biking, and paddle boarding throughout the Black Hills.

Kristi Larson, C-NP

Kristi Larson is a Certified Nurse Practitioner (CNP) and received her masters degree in nursing from Walden University. Prior to that she has worked as a nurse in Rapid City since 2009. Kristi is a Rapid City native and graduated from Rapid City Central High School. Her husband is also from Rapid City. They enjoy spending time with with their two daughters camping, boating, and playing soccer. Helping patients has always been the most rewarding part of her career and she plans to continue doing that with the ENT/allergy patients.


Ashley Huerta Au.D., CCC-A

Dr. Ashley Huerta earned her Doctor of Audiology degree from the University of Northern Colorado in Greeley, Colorado. She has worked in a variety of settings and is excited to be a part of the WRENT team. She is passionate about customizing solutions for individual needs to help both adults and children. Whether the focus is hearing loss, tinnitus or hearing preservation, everyone's journey is different. She believes in an individualized process for each person, focusing on a unique solution to better their quality of life. She is looking forward to helping you along your hearing journey.

Dr. Huerta is certified by the American Speech-Language Hearing Association (ASHA) in Audiology (CCC-A) and is a member of the American Academy of Audiology (AAA).

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