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Wyoming Physical Therapy Procedures and Modalities

Manual Therapy

Qualification for grade V joint manipulation (high velocity, low amplitude thrust manipulation) requires hands-on practical evaluation and includes one or more of the following:

    • Physical therapists that graduated from CAPTE accredited doctoral degree physical therapy programs shall obtain and maintain evidence showing that high velocity, low amplitude thrust techniques were included in their program.
    • Foreign-educated physical therapists shall provide evidence of doctoral-level physical therapy training in manual therapy techniques that included high velocity, low amplitude thrust techniques as part of their curriculum.
    • Physical therapists that hold the Orthopedic Clinical Specialist or Sports Clinical Specialist certification from the American Board of Physical Therapy Specialties with documentation that high velocity, low amplitude thrust techniques were included in the study program.
    • Physical therapists that successfully complete a formal, credentialed, manual therapy fellowship or other certification program.
    • Physical therapists that successfully complete a post entry-level education program in high velocity, low amplitude thrust techniques that fall within Chapter 6, Section 2(i)(A) - (E).

Dry Needling

Dry needling may not be performed by a PTA or a physical therapy aide. 

Licensed physical therapists shall demonstrate that they have received training in dry needling in a course approved by state boards of physical therapy, the American Physical Therapy Association or individual chapters of the American Physical Therapy Association, the Federation of State Boards of Physical Therapy, or the International Association for Continuing Education Training.

  • The course shall include but not be limited to training in indications, contraindications, potential risks, proper hygiene, proper use and disposal of needles, and appropriate selection of clients.
  • The course shall include a minimum of twenty-seven (27) hours of live face-to-face instruction. Online courses are not appropriate training in dry needling. 

The physical therapist shall supply written documentation, upon request by the Board, that substantiates appropriate training as required by this rule.  Failure to provide written documentation may result in disciplinary action taken by the Board.               


A physical therapist may purchase, store, and administer topical medications, including topical aerosol medications, as part of the practice of physical therapy. A physical therapist shall comply with any protocols of the United States pharmacopoeia for storage of medications.

A valid order or prescription for medication classified as a legend drug is needed before administration to a patient. Physical therapy facilities must work with a pharmacist to assist with proper protocols for storage of medications. A record of dosage form, quantity, and strength of medication administered to each patient is required in the medical record.


Wyo. Stat. Ann. § 33-25-101

062.0001.7 Wyo. Code R. § 2

062.0001.7 Wyo. Code R. § 3

062.0001.10 Wyo. Code R. § 2

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