Health care · County · Texas
Chiropractors in Smith County, TX
How Smith County, TX compares with other counties and the U.S. for chiropractors: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 38 out of 100: Lower middle
Ranked #1,079 of 1,490 scored counties
#72 of 80 scored counties in Texas
- Listings
- 60
- 4 chain locations (7%)
- Official establishments
- 34
- +13.3% since 2019
- Household spending a year
- $92.7M
- On medical and dental services · $1,115 a household
- Spending per listing
- $1.5M
- 35% below the U.S.
- Listings per 10k households
- 7.2
- 33% above the U.S.
- Population, 2025
- 252,549
- +7.8% since 2020
See the chiropractors around any address in Smith County
The site report maps the chiropractors on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
At $1,115 per household (13% below the U.S. average), households in Smith County spend about $92.7M a year on medical and dental services. That works out to $1.5M per practice, 35% below the U.S. figure of $2.4M. The spending figure covers all medical and dental services, not only chiropractors.
There are 60 chiropractors on map listings in Smith County as of September 2026. 4 of them (7%) are chain locations, against 8% across the U.S. That comes to 7.2 for every 10,000 households, 33% above the U.S. rate of 5.4.
Official counts show 34 businesses with payroll classed as offices of chiropractors in Smith County in 2023, up 13.3% from 2019. That is one for every 2,445 households, against one for every 3,237 across the U.S. Since fiscal 2022, 2 SBA-backed loans worth $364K have gone to businesses classed as offices of chiropractors in Smith County.
Population estimates put the population change in Smith County from 2020 to 2025 at +7.8%, faster than the U.S. (+3.1%). The Groundwork market score for chiropractors in Smith County is 38 (lower middle), #1,079 of 1,490 scored counties and #72 of 80 scored counties in Texas.
How Smith County compares
The same measures for Texas and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the chiropractors counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Smith County | Texas | U.S. |
|---|---|---|---|
| Listings per 10k households | 7.2 | 4.7 | 5.4 |
| Spending per listing | $1.5M | $2.5M | $2.4M |
| Households per official establishment | 2,445 | 4,235 | 3,237 |
| Official establishment growth, 2019–2023 | +13.3% | +7.6% | +0.8% |
| Population growth, 2020–2025 | +7.8% | +8.5% | +3.1% |
| Spending per household on medical and dental services | $1,115 | $1,164 | $1,288 |
| Median household income | $74,192 | $78,476 | $80,734 |
| Groundwork market score | 38 | 62 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 30 → 34+13.3% over the period
- Employees, 2023
- 115
- Annual payroll, 2023
- $4.4M
- One-person businesses, 2023
- Not publishedNot published for this business type
- Map listings, September 2026
- 604 chain locations
- Listings at the U.S. rate for this spending
- 39The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 2
- Amount
- $364K
SBA-backed loans to businesses classed as offices of chiropractors in Smith County, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in Smith County
- Population, 2025 estimate
- 252,549+7.8% since 2020
- Households
- 83,134
- Median age
- 38.3
- Homes lived in by their owners
- 69%
- Vehicles per household
- 1.9
- Land area
- 922 sq. mi.
- People per square mile
- 262
- Median household income
- $74,192+30.6% vs. 2015–2019, before inflation
- Average household income
- $97,956
- Median home value
- $240,700
- Jobs located here
- 111,630
- Daytime population
- 252,433Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Smith County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the chiropractors on map listings by name and distance.
Or open the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardChiropractors across Texas
Every Texas market ranked →The highest-scoring counties in Texas for chiropractors, numbered among those based in Texas, with Smith County marked.
Top counties in Texas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Chambers County, TX | 87 | 5 | 2.9 | $4.5M | +22.6% | #11 of 1,490 |
| 2Fort Bend County, TX | 86 | 116 | 4.0 | $3.5M | +17.4% | #15 of 1,490 |
| 3Guadalupe County, TX | 85 | 18 | 2.8 | $4.4M | +15.8% | #16 of 1,490 |
| 4Midland County, TX | 85 | 20 | 3.0 | $4.3M | +10.0% | #18 of 1,490 |
| 5Kaufman County, TX | 83 | 16 | 3.1 | $3.8M | +42.2% | #38 of 1,490 |
| 6Liberty County, TX | 79 | 5 | 1.6 | $6.7M | +31.3% | #63 of 1,490 |
| 7Wise County, TX | 79 | 9 | 3.6 | $3.4M | +21.5% | #74 of 1,490 |
| 8Hardin County, TX | 78 | 5 | 2.3 | $5M | +4.2% | #79 of 1,490 |
| 9Webb County, TX | 77 | 15 | 1.8 | $5.5M | +5.2% | #88 of 1,490 |
| 10San Patricio County, TX | 77 | 6 | 2.4 | $4.5M | +4.7% | #93 of 1,490 |
| 72Smith County, TX | 38 | 60 | 7.2 | $1.5M | +7.8% | #1,079 of 1,490 |
Other business types in Smith County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many chiropractors are in Smith County, TX?
As of September 2026, map listings count 60 chiropractors in Smith County. 4 of them (7%) are chain locations. The listings count chiropractors. Official counts show 34 businesses with payroll classed as offices of chiropractors in 2023, up 13.3% from 2019.
How much do households in Smith County, TX spend on medical and dental services?
About $92.7M a year, or $1,115 per household. That is 13% below the U.S. average (an index of 87, where 100 is the U.S. average). Spread across the 60 chiropractors on map listings, it comes to $1.5M per practice. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade. It is estimated from the incomes of the 83,134 households in Smith County and national spending patterns by income.
How does Smith County, TX compare with the U.S. for chiropractors?
Smith County has 7.2 chiropractors per 10,000 households, 33% above the U.S. rate of 5.4. Spending per practice is $1.5M, 35% below the U.S. figure of $2.4M. At the U.S. ratio of chiropractors to household spending, Smith County would have about 39, against 60 on map listings. There is one business with payroll in the industry for every 2,445 households, against one for every 3,237 across the U.S. The official count rose 13.3% from 2019 to 2023, against +0.8% for the U.S.
How fast is Smith County, TX growing?
Population estimates put Smith County at 252,549 people in 2025, up 7.8% since 2020, faster than the U.S. (+3.1%). It has 83,134 households. The median household income in Smith County is $74,192 a year, 8% below the U.S. median of $80,734. That rose 30.6% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. Smith County scores 38 for chiropractors (lower middle), #1,079 of 1,490 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Smith County. It maps the chiropractors on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for chiropractors · All 56 business types in Smith County
Screening a site or an acquisition in Smith County?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of Smith County. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.