Licensure Date: 1927

Directory page last updated 4-27-2021

The Federation does not provide interpretation of the scope of practice laws or rules of any chiropractic licensing authority, nor can we provide specific details regarding licensing requirements.  The educational and testing requirements for each State or Province set forth in this Directory are intended as a general guide.  It is strongly recommended that anyone interested in becoming licensed in a particular State or Province contact the Board office or the Secretary of the respective board to secure current and complete details before matriculating in any school. 
Gloria Lindsey, Executive Director Greg Mitchell, Board Attorney
For Information Contact:
3605 Missouri Blvd. (Zip 65109)
P.O. Box 672 (Zip 65102-0672)
Jefferson City, MO

Time Zone: Central
Office Hours: 8:00 am - 5:00 pm; M-F
Phone: (573) 751-2104
Fax: (573) 751-0735
(Do not use FAX for applications)

Email: chiropractic@pr.mo.gov
Web address: pr.mo.gov/chiropractors
Exam Dates: Based on NBCE schedule
Application/ Transcript Deadline: None
Criminal background check: Yes
Fingerprinting: Yes
Application fee: $200
Term: License expires February of odd-numbered years
License Renewal fee: $125
Preceptor/Intern/Extern Program: Students may practice under licensed D.C. if enrolled in Preceptorship program approved by Board. No temporary permits for graduated doctors to practice under licensed D.C.s.
Require supervised practice prior to full licensure: No 
License(s) Required for Practice: Chiropractic
Optional Certification: Acupuncture (100 hours required to be certified to
use Meridian Therapy, Acupressure & Acupuncture). Chiropractic Insurance
Consultant (100 hours required to be certified). Contact Board to apply.
Other chiropractic specialties subject to board approval.
Requirements: Forty-eight Hours (48).
Distance Credits Allowed: must be board-approved for formal continuing education
Program Criteria: Physician level instruction, approved by Board. Contact Board for Application for Course Approval.
Accepts uniform continuing education form: No

Board requires sexual boundaries training: No. Expanded categories of CE have been developed.
Board requires AIDS awareness / risk prevention training: No. Expanded categories of CE have been developed.
Other special areas of specific CE training required: At least 24 hours of the required 48 hours of continuing education shall be earned by attending formal continuing education programs, seminars and/or workshops that have been approved by the board. (A) A licensee shall obtain the required formal continuing education hours from no less than three of the following categories: (1) diagnostic imaging (x-rays); (2) differential or physical diagnosis or both; (3) ethical practices -- acceptable courses include topics such as professionalism, doctor-patient relationship, legal issues and responsibilities, confidentiality, and advertising; (4) emergency procedures -- CPR and/or first aid offered by the American Red Cross or other board-approved sponsoring organization shall be acceptable; (5) Human Immunodeficiency (HIV), infectious diseases and/or universal precautions; (6) cerebrovascular accident (CVA) and/or transient ischemtic attack (TIA); (7) disk injury; (8) aggravated spinal conditions and/or injury; (9) record-keeping and/or Subjective Objective Assessment Plan (SOAP) notes; (10) soft tissue injury; (11) nutrition; (12) chiropractic principles and/or technique(s); (13) health promotion and wellness; (14) case studies in chiropractic that consist of presentations relating to articles published in scholarly journals, treatises, or textbooks used by board-approved Council of Chiropractic Education (CCE) colleges and/or universities and evidence-based and/or value-based studies; (15) insurance consulting; or (16) Meridian therapy/acupressure/acupuncture. Licensees who hold specialty certifications must have 12 hours in their specialty field. MTAA certified chiropractors must have 12 hours in acupuncture; Insurance consultants must have 12 hours in Insurance claims review.
Optional Certifications: Certifications available for Insurance Consulting and MTAA (Meridian Therapy / Acupressure / Acupuncture). 12 hours of CE in specialty to maintain certification.  Other specialty certifications subject to board approval.

CONDITIONS FOR RECIPROCITY/ENDORSEMENT: Education and examinations must be equivalent to Missouri. The Board may require an applicant to successfully complete the SPEC examination if the licensing authority requirements for securing a license in the other jurisdiction are not equivalent to those required for licensure in Missouri.
EXAMINATIONS ADMINISTERED BY STATE: Missouri Law examination administered as an open book exam.


Part I: Required
Part II: Required
Part III (WCCE): Required
Part IV: Required
Physiotherapy: Required
Acupuncture: Accepted
SPEC: Utilization of SPEC exam at board's discretion


PHYSIOTHERAPY: Termed Physiotherapy
Certification: Included in chiropractic license
Additional Education: As per CCE requirements
Additional Examination: Must have NBCE Physiotherapy exam
Additional Fee: None
Min. # years pre-professional education required for licensure: 90 credit hours
Accreditation for Chiropractic Programs/Institutions: Council on Chiropractic Education
SPECIAL REQUIREMENTS FOR GRADUATES OF FOREIGN COLLEGES:  Transcripts must be in English, or have a certified English translation attached. Contact Board for specific information.
SUMMARY OF SCOPE OF PRACTICE: (Contact State for precise definition by state law)
The “practice of chiropractic” is defined as the science and art of examination, diagnosis, adjustment, manipulation and treatment both in inpatient and outpatient settings, by those methods commonly taught in any chiropractic college or chiropractic program in a university which has been accredited by the Council on Chiropractic Education, its successor entity or approved by the board. It shall not include the use of operative surgery, obstetrics, osteopathy, podiatry, nor the administration or prescribing of any drug or medicine nor the practice of medicine. The practice of chiropractic is declared not to be the practice of medicine and operative surgery or osteopathy within the meaning of chapter 334, RSMo, and not subject to the provisions of the chapter. The practice of chiropractic may include meridian therapy/acupressure/acupuncture with certification as required by the board.
Board regulates specialty council certification: Yes
Board permits or authorizes travel-to-treat requirements: Yes
Board permits or authorizes telemedicine practices: Yes
Licensees required to carry malpractice insurance: No
Additional legally accepted terms for chiropractor (in addition to Doctor of Chiropractic, D.C., Chiropractor, Chiropractic Doctor): Chiropractic Physician
Peer Review: No board peer review
Certified Clinical Chiropractic Assistants: No licensing authority for chiropractic assistants 
Board handles both licensing and disciplinary functions. 
Dr. Jack Rushin, D.C. President,, 400 South 11th St., Poplar Bluff 639901 
Dr. Darren Kirchner, D.C., Secretary, 374 Commercial Street Kahoka, Missouri, 63445
Dr. Margaret "Marty" Freihaut, D.C.,  400 Biltmore Dr., #407, Fenton 63026 
Dr. Gary Carver, DC. Member, 4409 Sterling Ave, Raytown 64133 
Dr. Seth Hudson, D.C., Member, 3232 INdependence St. Cape Girardeau Missouri 63701

STATISTICAL INFORMATION: Total # of Licensees as of 4/2021: 


# of Active licenses: 2,460
# of Inactive licenses: 71

# of Other Status:  6
(Ex: retired/deceased/terminated/emeritus...)    
# of New licensees: 146
# of Resident licenses: 2,072      
# of Non-Resident licenses: 388
# of Chiropractic Assistants: