Groundwork

Market rankings · Virginia

Chiropractors in Virginia

Markets across Virginia ranked by the Groundwork market score for chiropractors, with competitor counts and household spending for each.

Listings
1,309
123 chain locations (9%)
Official establishments
752
+3.3% since 2019
Household spending a year
$4.3B
On medical and dental services
Listings per 10k households
3.9
28% below the U.S.
Spending per listing
$3.3M
36% above the U.S.
Rank among states
#5 of 51
Market score 73 · Upper middle

A site report maps the chiropractors on map listings around any address in Virginia by name and distance, and the spending within reach.

Free10 actions over 3 days, no card

Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

As of September 2026, map listings count 1,309 chiropractors in Virginia. Of those, 123 are chain locations, or 9%, against 8% across the U.S. That is 3.9 per 10,000 households, 28% below the U.S. rate of 5.4.

At $1,264 per household (2% below the U.S. average), households in Virginia spend about $4.3B a year on medical and dental services. That works out to $3.3M per practice, 36% above the U.S. figure of $2.4M. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade.

The official count of businesses with payroll classed as offices of chiropractors in Virginia was 752 in 2023, up 3.3% from 2019. That is one for every 4,476 households, against one for every 3,237 across the U.S. Across the U.S., the count rose 0.8% over the same years. Since fiscal 2022, 43 SBA-backed loans worth $13.2M have gone to businesses classed as offices of chiropractors in Virginia.

Among the 50 states and DC, Virginia ranks #5 for chiropractors, with a Groundwork market score of 73 (upper middle). Of the 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest (80). Of the 3 scored small-town markets in or partly in Virginia, the Danville area scores highest (62).

Every market in Virginia for chiropractors

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Virginia, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching Virginia, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Richmond, VA801492.8$4.3M+5.5%#6 of 386
Washington-Arlington-Alexandria, DC-VA-MD-WV779824.1$3.5M+3.3%#17 of 386
2Winchester, VA-WV69193.4$3.4M+6.5%#52 of 386
3Virginia Beach-Chesapeake-Norfolk, VA-NC662403.4$3.5M+0.9%#76 of 386
4Harrisonburg, VA58193.8$2.9M+3.5%#124 of 386
5Blacksburg-Christiansburg-Radford, VA57243.4$3.1M−0.1%#132 of 386
6Charlottesville, VA57414.5$2.8M+3.1%#140 of 386
7Lynchburg, VA56373.6$3M+2.9%#146 of 386
8Staunton-Stuarts Draft, VA51193.6$2.9M+3.2%#178 of 386
Kingsport-Bristol, TN-VA50503.8$2.6M+2.3%#185 of 386
9Roanoke, VA36654.9$2.2M+0.4%#302 of 386

Small-town markets

Small-town markets reaching Virginia, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Danville, VA6271.6$5.9M−1.7%#115 of 426
2Martinsville, VA6062.2$4.1M−1.9%#132 of 426
Bluefield, WV-VA46163.9$2.4M−3.8%#240 of 426
Lake of the Woods, VANot scored21.3$9.2M+10.1%

Counties

Counties in Virginia, ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Stafford County, VA95122.3$6.6M+8.3%#2 of 1,490
2Fauquier County, VA9093.4$4.3M+4.8%#6 of 1,490
3Frederick County, VA8661.7$7.5M+8.8%#12 of 1,490
4Spotsylvania County, VA85203.8$3.5M+10.5%#21 of 1,490
5Prince William County, VA84553.5$4.2M+4.2%#23 of 1,490
6Arlington County, VA83393.5$4.4M+2.1%#35 of 1,490
7Suffolk city, VA8282.1$5.8M+10.4%#41 of 1,490
8Richmond city, VA79121.2$9.4M+4.6%#62 of 1,490
9Chesterfield County, VA78523.7$3.5M+8.7%#84 of 1,490
10York County, VA7751.9$7.3M+1.6%#87 of 1,490
11James City County, VA75134.1$3.3M+6.2%#145 of 1,490
12Augusta County, VA7161.9$5.8M+1.8%#200 of 1,490
13Chesapeake city, VA71333.5$3.6M+2.3%#206 of 1,490
14Henrico County, VA70483.5$3.5M+2.3%#228 of 1,490
15Hampton city, VA69101.7$6.2M0.0%#238 of 1,490
16Fairfax County, VA672245.4$2.9M+1.7%#285 of 1,490
17Loudoun County, VA671017.1$2.4M+6.4%#292 of 1,490
18Hanover County, VA66204.7$2.9M+5.6%#311 of 1,490
19Norfolk city, VA64192.0$5.3M−2.9%#340 of 1,490
20Portsmouth city, VA6392.2$4.5M−1.2%#365 of 1,490
21Alexandria city, VA61374.9$2.9M+1.0%#433 of 1,490
22Washington County, VA6073.2$3.2M0.0%#452 of 1,490
23Albemarle County, VA58275.9$2.3M+5.1%#523 of 1,490
24Bedford County, VA57154.5$2.5M+4.4%#546 of 1,490
25Montgomery County, VA55164.3$2.6M−1.2%#587 of 1,490
Show all 133 counties
Counties in Virginia, ranked for chiropractors by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Newport News city, VA54283.7$2.9M−1.5%#618 of 1,490
27Campbell County, VA5494.0$2.6M+0.1%#623 of 1,490
28Mecklenburg County, VA5353.7$2.7M+1.5%#650 of 1,490
29Lynchburg city, VA5293.1$3.2M+3.0%#669 of 1,490
30Roanoke city, VA52143.2$3M−0.8%#670 of 1,490
31Roanoke County, VA52205.0$2.3M+0.2%#683 of 1,490
32Franklin County, VA51104.3$2.5M+1.9%#700 of 1,490
33Charlottesville city, VA4184.0$2.9M−4.4%#973 of 1,490
34Virginia Beach city, VA411025.7$2.2M−1.3%#985 of 1,490
35Danville city, VA3963.1$2.9M−2.2%#1,032 of 1,490
36Fairfax city, VA373538.2$391K+10.8%#1,115 of 1,490
37Manassas city, VA36149.9$1.4M+3.9%#1,129 of 1,490
38Carroll County, VA3554.0$2.4M+0.5%#1,139 of 1,490
39Falls Church city, VA351727.1$584K+3.3%#1,161 of 1,490
40Wise County, VA2953.6$2.5M−3.5%#1,287 of 1,490
41Colonial Heights city, VA2979.3$1.2M+3.2%#1,312 of 1,490
42Fredericksburg city, VA281411.9$1M+8.6%#1,328 of 1,490
43Salem city, VA2476.8$1.6M+1.7%#1,376 of 1,490
44Botetourt County, VA231410.6$1.1M+1.5%#1,400 of 1,490
45Tazewell County, VA20138.0$1.2M−4.4%#1,433 of 1,490
46Staunton city, VA20108.8$1.2M+3.8%#1,434 of 1,490
47Winchester city, VA131311.3$918K+1.0%#1,478 of 1,490
48Harrisonburg city, VA91810.4$986K−1.7%#1,487 of 1,490
49Bristol city, VA21115.2$619K−5.2%#1,490 of 1,490
Rockingham County, VANot scored10.3$37.2M+6.6%
Pittsylvania County, VANot scored10.4$23.9M−1.5%
Culpeper County, VANot scored31.6$7.9M+9.3%
Henry County, VANot scored41.9$4.9M−3.1%
Shenandoah County, VANot scored42.2$4.8M+3.6%
Prince George County, VANot scored10.8$15.1M+2.0%
Warren County, VANot scored42.6$4.5M+4.8%
Louisa County, VANot scored42.6$4.6M+13.6%
Isle of Wight County, VANot scored21.3$9.7M+6.7%
Gloucester County, VANot scored42.6$4.5M+3.6%
Orange County, VANot scored21.3$9.2M+10.1%
Pulaski County, VANot scored21.4$7.4M−0.6%
Halifax County, VANot scored10.7$12.8M−1.4%
Petersburg city, VANot scored32.0$4.5M+1.0%
Accomack County, VANot scored32.1$4.8M+1.4%
Caroline County, VANot scored10.8$14.2M+11.3%
Powhatan County, VANot scored10.9$15M+7.0%
Amherst County, VANot scored10.8$13.2M+2.1%
Smyth County, VANot scored43.2$2.9M−3.0%
Dinwiddie County, VANot scored00.0n/a+3.6%
Wythe County, VANot scored43.2$3M−1.2%
Fluvanna County, VANot scored21.9$6.3M+6.2%
King George County, VANot scored33.0$4.6M+10.5%
Goochland County, VANot scored21.9$7.4M+17.4%
Russell County, VANot scored32.8$3.3M−1.7%
New Kent County, VANot scored11.1$12.7M+21.2%
Page County, VANot scored11.0$9.6M+0.3%
Hopewell city, VANot scored00.0n/a+1.1%
Waynesboro city, VANot scored33.0$3.3M+7.5%
Rockbridge County, VANot scored00.0n/a0.0%
Prince Edward County, VANot scored45.2$1.9M+2.3%
Lee County, VANot scored11.2$7.6M−2.1%
Scott County, VANot scored11.1$8.3M−1.8%
Greene County, VANot scored33.7$3.3M+6.6%
Buchanan County, VANot scored11.3$6.4M−8.7%
Westmoreland County, VANot scored00.0n/a+6.5%
King William County, VANot scored22.7$4.3M+9.5%
Southampton County, VANot scored00.0n/a+0.9%
Patrick County, VANot scored11.3$7.8M−0.9%
Buckingham County, VANot scored11.6$6.2M+1.9%
Manassas Park city, VANot scored00.0n/a−3.5%
Radford city, VANot scored23.6$2.7M+7.0%
Appomattox County, VANot scored34.5$2.3M+6.3%
Giles County, VANot scored11.5$6.9M−1.3%
Brunswick County, VANot scored00.0n/a−0.6%
Williamsburg city, VANot scored36.0$1.9M+2.6%
Nottoway County, VANot scored11.8$5.6M+1.0%
Floyd County, VANot scored34.5$2.2M+2.1%
Grayson County, VANot scored00.0n/a−0.3%
Clarke County, VANot scored11.7$7.9M+5.4%
Alleghany County, VANot scored00.0n/a−4.2%
Nelson County, VANot scored11.6$7.3M+1.2%
Madison County, VANot scored00.0n/a+2.7%
Dickenson County, VANot scored00.0n/a−6.0%
Martinsville city, VANot scored23.5$2.6M+2.8%
Amelia County, VANot scored00.0n/a+2.7%
Poquoson city, VANot scored24.2$3.2M+6.6%
Northumberland County, VANot scored00.0n/a+6.1%
Northampton County, VANot scored11.8$5.8M−2.8%
Lunenburg County, VANot scored00.0n/a+0.9%
Charlotte County, VANot scored12.1$4.5M−1.2%
Greensville County, VANot scored00.0n/a−1.8%
Lancaster County, VANot scored23.5$3.1M+0.9%
Middlesex County, VANot scored12.1$5.2M+2.2%
Sussex County, VANot scored00.0n/a−0.4%
Essex County, VANot scored24.5$2.2M+0.5%
Cumberland County, VANot scored00.0n/a+6.9%
Richmond County, VANot scored13.1$3.3M+4.2%
Mathews County, VANot scored00.0n/a+0.1%
Franklin city, VANot scored00.0n/a+4.1%
Lexington city, VANot scored313.7$791K+6.2%
Rappahannock County, VANot scored00.0n/a+1.6%
Galax city, VANot scored00.0n/a−0.7%
King and Queen County, VANot scored00.0n/a+2.4%
Charles City County, VANot scored00.0n/a−1.8%
Buena Vista city, VANot scored13.9$2.3M+0.9%
Surry County, VANot scored00.0n/a+0.8%
Bland County, VANot scored00.0n/a−1.7%
Covington city, VANot scored13.9$2.1M−1.2%
Emporia city, VANot scored00.0n/a−4.4%
Craig County, VANot scored00.0n/a−1.6%
Bath County, VANot scored00.0n/a−2.6%
Norton city, VANot scored16.2$1.4M−5.5%
Highland County, VANot scored00.0n/a+3.4%

Markets with fewer than 5 chiropractors on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many chiropractors are in Virginia?

Virginia has 1,309 chiropractors on map listings as of September 2026. 123 of them (9%) are chain locations. The listings count chiropractors. Official counts show 752 businesses with payroll classed as offices of chiropractors in 2023, up 3.3% from 2019.

How much do households in Virginia spend on medical and dental services?

About $4.3B a year, or $1,264 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 1,309 chiropractors on map listings, it comes to $3.3M per practice. The spending figure covers all medical and dental services, not only chiropractors. It is estimated from the incomes of the 3,365,732 households in Virginia and national spending patterns by income.

How does Virginia compare with the U.S. for chiropractors?

Virginia has 3.9 chiropractors per 10,000 households, 28% below the U.S. rate of 5.4. Spending per practice is $3.3M, 36% above the U.S. figure of $2.4M. At the national ratio of chiropractors to household spending, Virginia would have about 1,778, against 1,309 on map listings. There is one business with payroll in the industry for every 4,476 households, against one for every 3,237 across the U.S. The official count rose 3.3% from 2019 to 2023, against +0.8% for the U.S.

Which market in Virginia has the highest market score for chiropractors?

Among 11 scored metro areas in or partly in Virginia, the Richmond metro area scores highest, at 80 (high). Among 3 scored small-town markets in or partly in Virginia, the Danville area scores highest, at 62 (upper middle). Among 49 scored counties in Virginia, Stafford County scores highest, at 95 (very high). Scores compare each market with others of its kind across the U.S.

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. Virginia scores 73 for chiropractors (upper middle), #5 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Virginia. 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.

Chiropractors in other states

All 51 states

Top markets for chiropractors across the U.S. · All business types in Virginia

Screening a site or an acquisition in Virginia?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

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.