Distinguish yourself as an expert in both HVLA thrust manipulation and dry needling by becoming an OSTEOPRACTOR™. Get CERTIFIED in SPINAL MANIPULATIVE THERAPY™ (Cert. SMT) by completing SMT-1 to 4 of the OSTEOPRACTIC™ HVLA Thrust Manipulation Series; and in addition, get CERTIFIED in DRY NEEDLING™ (Cert. DN) by completing the DN-1 and DN-2 dry needling courses. The Cert. SMT and Cert. DN credentials, and the OSTEOPRACTOR title, are only offered through the American Academy of Manipulative Therapy & Spinal Manipulation Institute.