Rittenhouse Acupuncture has been a successful business in downtown Philadelphia for years. Their site has been around since the early 2000's, and their most important keyword has always been (without surprise) Philadelphia Acupuncture. Since they had been around so long, they had fairly decent SEO to begin with, but "decent" doesn't cure what ails you! They needed improved overall SEO and higher ranks on the Google charts.
I watched my Google Organic Ranking go from being 3rd to 5th to 1st or 2nd! Not only that, but I also come up mostly first for Googe’s Local Business Pack which is at the very top of the Search Engine Results Page.