Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What chiropractors miss in Missouri
- Missouri's acupuncture certification excludes dry needling hours and any online coursework.
- Specialty certificate holders must put 12 of their formal CE hours into the specialty each cycle.
Can a chiropractor licensed in another state get a Missouri license by endorsement?
A DC applying on the basis of a current license in another state submits verification from that state, and transcripts and NBCE scores are not required unless the board asks. The jurisprudence exam and a state and FBI background check still apply. The board reports it may require SPEC when the other state's standards are not equivalent.
- Endorsement route available
Citation: 20 CSR 2070-2.040(2)(F)–(G)
Which exams does Missouri require?
Applicants need NBCE Parts I, II, III, IV and Physiotherapy and 75 percent on the Missouri jurisprudence exam on state statutes and rules.
- NBCE Parts I–IV
- NBCE Physiotherapy exam
- State jurisprudence exam
- SPEC for some applicants
What else does the Missouri board check?
- Fingerprint background check
Does Missouri offer a temporary or travel-to-treat permit?
A temporary license is available under RSMo 331.032 after the Missouri jurisprudence exam, a Highway Patrol and FBI background check, and verification from each state where the DC is licensed.
- Temporary permit available
Citation: RSMo § 331.032; 20 CSR 2070-2.040(3)
Meridian therapy/acupressure/acupuncture certification in Missouri
Certification needs 100 hours of in-person meridian therapy study (no online hours, no dry needling) from a CCE college or board-approved source and a passing NBCE or ABCA acupuncture exam. Holders need 12 meridian therapy CE hours each cycle.
Citation: 20 CSR 2070-2.031
Does Missouri regulate chiropractic assistants?
The board reports to FCLB that it does not regulate chiropractic assistants.
- Not regulated
How often does a Missouri chiropractic license renew?
Biennial renewal; the board reports licenses expire in February of odd-numbered years. Forty-eight CE hours per cycle, at least 24 formal board-approved hours from at least two listed categories. DCs 65 or older with 35 years of Missouri licensure need only the 24 formal hours.
- Renews every 2 years
- 48 CE hours per cycle
Licensing in Missouri?
We file the application, send your NBCE scores and verifications, and carry the board correspondence. License by endorsement is $499. Not sure which route fits? The readiness review answers that for every state you want.