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About NAT Certification

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 manual 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

Anatomy of Pain - Trigger Point Master Course


Muscle Energy Techniques - MET Master Course


Understanding the Vital Psoas


Hip and Shoulder Dysfunction


Soft Tissue Release


Anatomy of Stretching - Master Course


Treating the Complex Shoulder - Master Course


Integrating Pilates Principles


Understanding The Vital Glutes


Anatomy of the Pelvis and SIJ


Treating Frozen Shoulder - NAT Access Course


Treating Common Headaches


Treating the Rotator Cuff


Treating Lower Back Pain


Trigger Point Theory - NAT Access Course


Stability, Sport, and Performance Movement


ITB Syndrome


Taping for Trigger Points


Treating Elbow and Wrist Injuries


Treating Spondylolisthesis




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. Your NAT presentation certificate will be sent to you separately - usually within 7 days of completion of the exam.

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.

Special notice regarding New York State, 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.




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