Course Info

The Institute of Manual and Manipulative Therapy (IMMT) offers a four-course series ending with practical and written certification exams. Applicants who successfully pass the certification process will be able to use the designation Cert. TJM® (Certified in Thrust Joint Manipulation) as part of their clinical education background.

To take these courses you must be a licensed or student physical therapist (PT), medical doctor (MD), doctor of chiropractic (DC), doctor of osteopathy (DO), or athletic trainer (ATC).


  1. TJM Part 1: Thrust Joint Manipulation to the Vertebral Column
  2. TJM Part 2: Thrust Joint Manipulation to the Vertebral Column – Advanced
  3. TJM Part 3: Thrust Joint Manipulation to the TMJ, Rib, and Extremity
  4. TJM Part 4: Certification in Thrust Joint Manipulation (Cert. TJM)

The first 3 courses can be taken in any order. Part 4 can only be taken after the successful completion of the other three courses.

Cancellation Policy

If a registrant must cancel their enrollment to an IMMT course, they may do so for a full refund up to two months prior to the start date. This coincides with the end of the Early Bird sign-up period. Cancellation may be accomplished by email or phone with IMMT staff. However, after this period no refunds will be granted. The registrant may transfer their course registration to another licensed or student PT, ATC, MD, DO, or DC, or they may choose to apply the money to a future course on a one-time basis. 

IMMT reserves the right to cancel a course up to two months prior to the course start date due to an insufficient number of participants, with a full refund granted. In addition, a class may be canceled due to unforeseen or unavoidable circumstances such as travel issues or inclement weather. A full refund will likewise be granted. IMMT will contact you via email and/or phone if such circumstances arise. IMMT will not be responsible for any charges incurred by the registrant for the course such as airfare, hotel, car rental, etc.

Upcoming Courses