Chiropractic Clinics NAICS 621310

        Chiropractic Clinics

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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

Aug 1, 2025 - New Hampshire Law may Increase Access To Chiropractic Care For Animals
  • A new New Hampshire law will expand chiropractic care for pets by allowing licensed chiropractors who primarily serve people to more easily serve animals too. Bill sponsor Diane Kelley said that allowing chiropractors to treat animals more easily will provide a welcome alternative to traditional veterinary care, which can be hard to access in New Hampshire because of a workforce shortage. Kelly also said that she has received calls from lawmakers from other states who are working on similar measures.
  • President Trump has signed into law the $3.4 trillion One Big Beautiful Bill that is estimated by Healio to include $930 billion in Medicaid cuts over 10 years. Medicare has covered some chiropractic services since 1972, but beneficiaries must seek diagnostic tests and similar services from different providers. Nearly 12 million more people may be uninsured by 2034, with many losing coverage because of the Medicaid provisions in the bill, according to a US Congressional Budget Office analysis. For the first time in the Medicaid program’s nearly 60-year history, certain able-bodied adults aged 19 years to 64 years will be required to work, participate in job training, volunteer, or enroll in school at least 80 hours a month to maintain their Medicaid benefits. This will also be required for parents of children aged 14 years and older.
  • 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 6.08% compounded annual rate from 2025 to 2029, 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 decreased slightly during the first five months of 2025, 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
                                Source: Vertical IQ and Inforum

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