TooLoud Spine Neck Tie AOP, Bone Print Necktie, Gift for Doctors Chiropractors One Size Fits Most. Bone print front, quality fabric but may also be worn for costumes or plays. Christmas gift for a chiropractor a spine doctor or spine surgeon. Adult size neck tie with a spine print on the front. The print runs the entire length, approx 54 inches. Birthday present for doctors or nurses or anyone in the medical field. Unique, Authentic, copyrighted design by TooLoud (Trademark) brand. This design is available on many other items! Purchase a full outfit, complete with accessories, to show your pride or festivity, or Purchase matching outfits for the whole family! Printed in Phoenix, AZ, USA with pride!