CAM Disciplines: Expansion, Maturation, Recognition Updated from ACCAHCs Clinicians & Educators Desk Reference on the Licensed Complementary & Alternative Healthcare Professions (2009) ProfessionAccrediting Agency Established US Department of Education Recognition Recognized Schools or Programs Natl Exam Created State Regulation Total Licensed Practitioners Acupuncture and Oriental medicine 198219905419824425,000 Chiropractic 197119741619635070,000 Massage therapy 1982200285199443250,000 Direct-entry (homebirth) Midwifery 19912001121994261200 Naturopathic medicine 197819877 198615 4500