In the United States, each state is responsible for providing and overseeing chiropractic licensure. Chiropractors must be licensed by a state in order to practice there. Licensing requirements vary from state to state. Some states have arrangements that permit chiropractors licensed in another state to also practice in theirs. As part of their licensing requirements, many states accept all or part of the tests administered by the National Board of Chiropractic Examiners, although some states may have additional requirements.
In order to maintain their licenses, chiropractors must take continuing education courses each year. These courses are offered by accredited chiropractic associations and institutions.
Chiropractors have the option of earning “diplomate” certification that involves more specialized training. Areas of study include orthopedics, neurology, sports injuries, occupational and industrial health, internal disorders, nutrition and other specialty areas.