All States and the District of Columbia regulate the practice of chiropractic and grant licenses to chiropractors who meet educational requirements and pass a State board examination.
Chiropractors can only practice in States where they are licensed.
Some States have agreements that permit chiropractors licensed in one State to obtain a license in another without further examination. All State boards recognize academic training in chiropractic programs and institutions accredited by the Council on Chiropractic Education. For licensure, most State boards recognize either all or part of the four-part test administered by the National Board of Chiropractic Examiners. State examinations may supplement the National Board tests, depending on State requirements. To maintain licensure, almost all States require completion of a specified number of hours of continuing education each year.