Chiropractic Clinics NAICS 621310
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Industry Summary
The 39,298 Chiropractic clinics in the US provide care that is focused on the spine and neck to patients suffering from disorders or injuries to the musculoskeletal system. Chiropractors may specialize in sports medicine, neurology, pediatrics, orthopedics, nutrition, or radiology. Some practices offer health and wellness counseling, as well as nutritional supplements.
Competition from Other Providers
In addition to chiropractors, other medical providers, such as physical therapists and osteopaths, can treat patients for back or joint pain.
Growing Acceptance of Chiropractic Care
Changing perceptions of alternative medicine and more rigorous educational requirements have led to gradual acceptance of chiropractic care.
Recent Developments
Jun 1, 2026 - Most Patients Take Prescription or OTC Meds
- Almost two-thirds of chiropractic patients have taken a prescription or over the counter (OTC) drug in the week before their appointment, according to Dynamic Chiropractic. About half of all patients take pain meds. About 20% of the children seen are also on some kind of prescription, and almost 90% of older patients take at least one drug. Painkillers were the most often taken OTC drugs. Atorvastatin (to lower cholesterol), lisinopril (for high blood pressure), levothyroxine (to treat hypothyroidism), and amlodipine (for high blood pressure) were the most used prescription drugs.
- The share of Affordable Care Act (ACA) insurance customers in plans that cost more than $6,000 a year doubled in 2026, according to the US Centers for Medicare and Medicaid Services (CMS). Total 2026 ACA enrollment decreased about 5% to 23.1 million. That figure doesn’t yet count people who still may cancel plans because they can’t pay premiums, so the decrease is expected to deepen. Some individual and small-group ACA plans include coverage for chiropractic services, so chiropractic clinics may be negatively impacted if plans are dropped due to affordability issues.
- The chiropractic market, once dominated by solo entrepreneurs and chiropractic-specific groups, is now seeing larger institutional buyers entering the space, according to Chiropractic Economics. There are several different types of investors in the market for chiropractic. Private equity (PE) firms typically focus on buying larger, mature clinic groups, and will almost always partner with the existing owner to ensure that they keep the chiropractic and regional knowledge in the company. Incubator programs, a type of private equity, train business executives to lead new ventures formed by acquiring existing businesses, with PE support in funding and mentorship. This model allows for acquiring smaller businesses by sharing the costs of advisory resources across multiple organizations. Venture capital (VC) firms, a newer player in chiropractic, are interested in being disruptors. They look for industries with foundational challenges and inefficiencies and focus on building a better model that can revolutionize the space. Family offices manage high-net-worth family wealth with a long-term focus, prioritizing stability and legacy over quick resale. Being acquired by a family office can mean avoiding some of the pressured growth timelines typical of PE and VC institutional buyers.
- Chiropractic industry sales are forecast to increase at a 5.72% compounded annual rate from 2026 to 2030, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc. Chiropractic industry employment and average wages for nonsupervisory employees increased slightly during the first two months of 2026, according to the US Bureau of Labor Statistics.
Industry Revenue
Chiropractic Clinics
Industry Structure
Industry size & Structure
A typical chiropractic clinic operates out of a single location, employs about 4 workers, and generates $449,000 in annual revenue.
- The chiropractic industry consists of about 39,298 companies, which employ 146,900 workers and generates $17.7 billion annually.
- Most chiropractors are solo practitioners who own and operate a single clinic. About 94% of chiropractic clinics employ less than 10 workers.
- No national chiropractic chains exist. The largest chains are confined by state boundaries.
- Half of all patients suffering from persistent back pain receive chiropractic treatment.
Industry Forecast
Industry Forecast
Chiropractic Clinics Industry Growth
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