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Chiropractic Licensing

Tennessee Chiropractic License

Endorsement, NBCE and state exams, temporary permits and renewal, with citations.

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 Tennessee

Can a chiropractor licensed in another state get a Tennessee license by endorsement?

Licensure by criteria (reciprocity) requires a valid unrestricted license elsewhere for two full years, documentation of practice length and any discipline, the Tennessee education requirements, and a passing SPEC score. A criminal background check from the board's vendor and verifications from every licensing state are also required.

  • Endorsement route available
  • 2 years of practice required

Citation: Tenn. Comp. R. & Regs. 0260-02-.04(2), 0260-02-.05

Which exams does Tennessee require?

Applicants pass the NBCE examination as directed by the board, with 375 on each part and on Physiotherapy; the rules do not list which parts. No separate jurisprudence exam is listed, but new licensees take a 6-hour course on risk management, boundaries and Tennessee law. SPEC is required on the reciprocity route.

  • NBCE Physiotherapy exam
  • No state jurisprudence exam
  • SPEC for some applicants

Does Tennessee regulate chiropractic assistants?

Therapy assistants must be certified: 50 hours of approved instruction, a board-approved exam, and 1,200 hours of supervised clinical internship completed within a year of the exam. Graduates may work under supervision during the internship.

  • Certified Chiropractic Therapy Assistant

How often does a Tennessee chiropractic license renew?

Twenty-four board-approved CE hours each calendar year, with up to 2 in CPR and 3 in practice management; DCs who practice acupuncture need 6 acupuncture hours a year. Renewal is due by the expiration date on the license.

  • 24 CE hours per cycle

Licensing in Tennessee?

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.

Sources

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