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About CE and NAT Certification




CE Broker



Mississippi State Board of Massage Therapy - MSBMT

PT / PTA Continuing Competency

Kansas Chiropractic Association

Massage & Myotherapy Australia CPE

Massage Therapy Association of Manitoba (MTAM)

Massage Therapists' Association of Nova Scotia (MTANS)

Canadian Massage & Manual Osteopathic Therapists Association (formerly RMTA) - Alberta

Niel Asher Education CE Hours

Missouri State Board of Chiropractic Examiners


What is NAT certification?

NAT certification is more than just a "certificate of completion". Our reflective learning exams are set by a consulting board of teaching professionals, and designed to ensure that the student has grasped a detailed knowledge of each course text.

NAT is widely accepted by consumers as a professional standard, and certification is confirmation that the therapist has acquired the prerequisite understanding of the technique(s) to which the certification refers.

Are there different levels of NAT Qualification?

You may certify NAT by completing any NAT or NAT approved course. This course-specific certification provides confirmation that you have completed a specific course or courses. This does not entitle you to use the initials "NAT" as a sign of qualification.

There are 3 levels of NAT Qualification. Level 3 is the highest NAT Qualification currently available.

In order to achieve NAT Qualification you must be qualified/licensed to practice massage/manual/physical therapy in the territory in which you work.

You will also need to accumulate NAT credits as shown in the table below.

NAT credits are awarded for the successful completion of NAT courses and certain NAT approved courses available on this website and elsewhere.


 NAT Qualification Credits Required
NAT Level 1 10
NAT Level 2 16
NAT Level 3 22



How many NAT credits are awarded for each course?

The table below is updated periodically. The credits shown are effective from November 2015.


 Course Title NAT Credits Awarded
Advanced Hand Massage 5
Advanced Foot Massage 5
Anatomy of Exercise and Movement - NAT Master Course

Anatomy of Pain - Trigger Point Therapy Master Course


Anatomy of Sports Injuries - NAT Master Course


Anatomy of Stretching - NAT Master Course


Bowen Unravelled Foundation Course

Clinical Reasoning and Assessment 15
Contemporary Approach to Low Back Pain 12

Corrective Exercise Solutions for Common Hip and Shoulder Dysfunction 

Cupping for the Modern Practitioner 5
Vacuum Cupping - NAT Course 5
Fusion Massage for Sciatica 5
Fusion Massage for Tension Headaches 5

Dry Needling for Trigger Points - NAT Master Course


Elbow and Wrist NAT Trigger Point Course

Evaluating and Treating Chronic Neck Pain
Fascial Release for Structural Balance - NAT Master Course 5

Functional Anatomy of the Pelvis and SIJ - NAT Master Course


Healing Massage - NAT Master Course

Healing Through Trigger Point Therapy - NAT Master Course 5
Hip Pain and Dysfunction - NAT Master Course 3

Integrating Pilates Principles for Manual Therapists - NAT Master Course

Introduction to Medical Cannabis 5

ITB Syndrome - NAT Video Master Class


Muscle Energy Techniques - NAT Master Course

Mind Body Healing 5

NAT Myofascial Trigger Point Course - Dry Needling

Oncology Massage 12
Understanding and Treating Peripheral Nerve Entrapments 5
Pilates for Massage and Manual Therapists 5
Power Lifting for Strength and Speed 5
Pregnancy Massage 10
Soccer Specifics 5

Soft Tissue Release - NAT Master Course

Spa Cupping Foundation - NAT Diploma Course 5

Spondylolisthesis - NAT Trigger Point Course


Taping For Tigger Points - NAT Trigger Point Course


The Vital Psoas - NAT Master Course


Treating The Complex Shoulder - NAT Master Course


Treating Frozen Shoulder - NAT Master Course

Treating Lower Back Pain - NAT Master Course 3

Treating Tension Headaches - NAT Master Course

Treating TMJ Disorders - NAT Trigger Point Course 5

Treating Rotator Cuff - NAT Master Course

Treating Runner's Knee - NAT Master Class 5
Treating Sciatic Pain - NAT Master Class 5

Treating The Vital Glutes - NAT Master Course

Trigger Point Theory 3
Trigger Point Therapy Diploma 20
Trigger Point Therapy for Dogs 5
Trigger Point Therapy For Horses  5
Understanding Posture 5

Yoga Anatomy for Trigger Points



Will I need to renew my certification?

In general no. Once you have completed a particular NAT course and completed certification, you will not generally be required to retake the exam. We do review all courses and exams at least once in each calendar year, and updates are automatically sent out to every customer. Please take the time to review any updates that you receive. You will not usually be required to re-take any completed exam for courses that have been updated. In the rare cases where this is necessary you will be notified by email.

How are exams completed and submitted?

In March 2016 we moved all of our exams to an online system. This has proved extremely popular and the system works well. The system allows you to create a (free) account so that you can login whenever you have time, and don't need to complete any exam in one sitting.

Will I receive a certificate?

Yes. When you have successfully completed an exam, you will be able to print out your CEU/CPD certificate for submission to your licensing board. 

Do I need to pay extra for taking or re-taking exams?

No. All NAT courses include the cost of exams and certification. There are no additional costs. You may re-take exams as often as required. If you have failed to pass any exam more than 3 times, we may contact you to discuss this with you and to see if you require any additional help in understanding the course material.

Will NAT certification be all I need to legally practice the techniques learned? 

No. NAT certification provides confirmation that you have learned and understood the course material. To legally practice any form of manual therapy in most countries you will require some type of license that has manual therapy in its scope of practice. These requirements will vary depending on where you live and work.

If you wish to practice any form of manual therapy on the public you are responsible for researching the licensing requirements as they relate to your particular state, region, or country. 

Can I display my NAT credentials for marketing purposes?

Yes. We encourage you to display your NAT credentials as this will help inform your clients of the services that you offer. Over 40,000 therapists in 18 countries have received some form of NAT certification. Many NAT qualified therapists use the initials NAT after their name, and add NAT logos to their websites and marketing material.

What does it mean to be classed as an NAT "Verified Member"?

We operate the worlds largest directory of trigger point professionals. You may list your business on our website for free or for a monthly payment for which you receive a number of additional benefits (including higher search rankings and discounts on NAT courses).

When you create a business profile on our website you will be asked to confirm certain details in order that we can verify who you are. Once you have completed this process you will be listed as a "verified member" and will be able to add the downloadable NAT logo to use on your website and other marketing material.

Continued Education Credits

Most NAT courses and NAT approved courses are accredited for CEU's/CPD. The requirements of different licensing bodies differ greatly so please check with your licensing body or contact if you have a question about CEU's/CPD. 

Information regarding CEU/CPD accreditation is usually available on the details page of each course.

Massage Therapists & Bodyworkers (NCBTMB)

Niel Asher Healthcare is approved by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) as a continuing education Approved Provider and is also sponsored by NCBTMB to teach New York LMTs continuing education that is accepted by the state of New York for license renewal.


Physical Therapists

The following NAT courses (see table below) have been approved by Advanced Healthcare Education, a provider for the Physical Therapy Board of California and are recognized in the following states for continuing competency:

Alaska, California, Colorado, Connecticut, Hawaii, Idaho, Indiana, Iowa, Maine, Massachusetts, Michigan, Montana, Nebraska, New Hampshire, New York, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virgin Islands, Washington State, Wyoming.

PT / PTA Continuing Competency






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