OVERVIEW

Learn Fascial Manipulation Level 4® (FM-4) Course is organized by Structure & Function Education and will be held from Jan 29 - 31, 2027 at Stretch to Win Institute, Phoenix, Arizona, United States of America.

Course Description:
The Fascial Manipulation® Level 4 (FM-4) course consists of two parts, called FM-4a and FM-4b. The first part (FM- 4a) is online and consists of video lectures and exams, while the second part is an in-person course with instruction, demonstrations and lab practicals. FM-4a must be completed 1 week before taken FM-4b to allow the exam to be reviewed prior to attending the in-person part of the course. This is to assure a good understanding of the underlying biomechanical rationale and mastery of the techniques presented.

Fascial Manipulation Level 4 course expands the current fascial understanding to the highest level. The course starts with learning the anatomical divisions of the superficial fascia known as quadrants. These divisions, both in horizontal and longitudinal directions, are due to thickenings of the retinacula cutis that are adhesive to the deep fascia. The area of a quadrant typically corresponds to the distribution of the cutaneous nerves and angiosomes. Within each quadrant, there are all the three superficial components of the systems: receptors, lymphatic vessels and adipose cells.

New manual skills for inspecting the quadrants of the superficial fascia and assessments for the internal systems are learned. Practical exercises, clinical demonstrations and instructor led treatments are included along with current clinical theory and science.

KEY DATES

Registrations Open
30 Sep, 2026
Registrations Open
Event Start Date
29 Jan, 2027
Event Start Date
Event End Date
31 Jan, 2027
Event End Date
Credits

SFDN1 Athletic Training CEUs:
Structure & Function Education (BOC AP #P10069) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 27 Category A CEUs. ATs should claim only those hours actually spent in the educational program.

SFDN1 Physical Therapy CEUs:
Structure & Function Education is a Texas Physical Therapy Association: Accredited Provider (APS#:  2606064TX); valid 7/1/26 to 6/30/29. The following states have reciprocity and accept the Texas APTA approval. This course is approved for 27 CEUs.

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • Colorado
  • Connecticut
  • Delaware
  • Georgia
  • Hawaii
  • Idaho
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Maine
  • Maryland
  • Michigan
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • New Hampshire
  • New Mexico
  • North Carolina
  • North Dakota
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Utah
  • Vermont
  • Virginia
  • Washington
  • Wisconsin
  • Wyoming

Additional Individual State Approvals for Physical Therapy

  • Arizona: APTA Arizona has approved this course for 27 CE credits; Reference CEUL168850, valid 1/1/26-12/31/26; Reference CEUL140374, valid 1/1/25-12/31/25; Reference CEUL117592, valid 1/1/24-12/31/24
  • Florida: Florida Physical Therapy Association: 27 CEUs.  Approval #CE26-1337373  , valid 1/1/2026-12/31/2026.  Approval #CE24-1241080, valid 1/1/2025-12/31/2025. Approval #CE24-1140004; valid 1/1/2024-12/31/2024
  • Illinois: Licensed CE Sponsor #216.010569, Exp. 9/30/2028
  • Louisiana: The Louisiana Physical Therapy Board; Approved for 27 hours of continuing education, Type: Traditional/In Person; Valid 1/1/2025-12/31/2025
  • Massachusetts: APTA of Massachusetts: 27 CE Hours; Approval #CEUL175252, Valid 5/1/2026 – 4/30/2027; Approval #CEUL151124; Valid 5/1/2025-4/30/2026; Approval #135367, Valid 4/3/24 – 4/3/25. Approval #135367
  • Michigan:  APTA Michigan; 27 Credits; Approval #: CEUL130619. Valid 05/1/2024-05/01/2025; Approval CEUL145684, Valid 3/1/2025-3/1/2026
  • Minnesota: Minnesota Board of Physical Therapy; Approval 14405, 25.75, Exp. 5/28/2027 25.75 hours valid 5/29/26 – 5/29/27 Approval #11208, 25.75 hours, valid 1/1/2024-12/31/2024; Approval #11207, 25.75 hours, valid 1/1/23-12/31/23; Approval #11206, 25.75 hours, valid 1/1/2022-12/31/2022
  • Nevada: Nevada Physical Therapy Board; 15 CE Hours for Renewal; Valid 4/24/2023 – 06/07/26. (The approval is for 15 hours because NV only requires 15 hours.)
  • New Jersey: The NJ State Board of Physical Therapy has approved a modified version of this course to meet their dry needling education requirements. NJ licensed PTs must take the New Jersey offering of this course as part of a three course series to meet the licensing requirement. (Approval #2203-133; 27 hours total – 11.25 academic/theory, 15.75 practical/hands on; Valid 5/24/2022-1/31/2026)
  • Ohio: Ohio Physical Therapy Association:  26.75 CE Hours, Approval #26S171, valid 7/31/26 – 7/31/27; Approval # 25S1274  , valid 7/26/2025 – 07/26/2026;  Approval #24S1646, valid 7/26/2024 – 07/26/2025; Approval # 23S1348 effective  6/10/2023-6/10/2024
  • Pennsylvania: Pennsylvania Board of Physical Therapy: Approval #PTPR016449, 27 hours Gen, effective 1/1/25-12/31/25
  • Tennessee: Tennessee Board of Physical Therapy – Approval Pending
  • Texas: Texas Physical Therapy Association: Accredited Provider (APS#:  2606064TX); valid 7/1/26 – 6/30/29. This approval includes Physical Therapists and Physical Therapy Assistants.
  • West Virginia: West Virginia Board of Physical Therapy; 27 Credits; Approval #150102; Valid 1/1/2025-12/31/2025; Approval #:SAF-R24-01; Valid 01/01/2024-12/31/2024
  • Virginia: AAPTA Virginia; 27 Credits;  Approval # CEUL160711, valid 06/13/2025-06/13/2026;  Approval # CEUL136363, valid 06/01/2024-06/01/2025; Approval #:CEULI 12895; valid 05/1/2023-05/01/2024PTA Virginia; 27 Credits; Approval # CEUL136363, valid 06/01/2024-06/01/2025; Approval #:CEULI 12895; valid 05/1/2023-05/01/2024

SFDN1 Chiropractic CEUs:
Structure and Function Education is a PACE Recognized Provider. PACE is a division of the Federation of Chiropractic Licensing Boards, and serves Alaska, Connecticut, District of Columbia, Idaho, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington and Wyoming.  Total Contact Hours Completed: 25

  • Arizona: State of Arizona Board of Chiropractic Examiners; Approval #AZCE24297; 27 hours, Subject Matter – Physical Medicine Modalities; Expires 5/16/2026
  • Colorado: Based on the information on the Board of Chiropractic Examiners for the State of Colorado, all Structure & Function Education courses would qualify as continuing education. The board does not preapprove courses, but we do comply with the standards listed on their website.
  • Oklahoma:  Oklahoma Board of Chiropractic Examiners has approved the 27 hour SFDN1 course.  This course satisfies the requirements for Dry Needling certification for Oklahoma licensees
  • Texas: Texas Chiropractic Association has approved the following courses for 27 CE Hours: July 10 – 12, 2026 in Dallas, Approval #DN07-17045; September 25 – 27, 2026 in Houston, Approval #DN07-17046; November 13 – 15, 2026 in Dallas, Approval #DN07-17047. December 11-13, 2026 in San Antonio, Approval #DN07-17258.

SFDN1 Occupational Therapist CEUs:
Arizona: The OT Board of Arizona does not pre-approve courses.

  • Indiana: Indiana Occupational Therapy Association; IOTA Approved Provider # 2025007, 25 CE hours, valid 5/30/2025–5/30/2026.  Structure and Function is an Approved Provider for the Indiana Occupational Therapy Association. The assignment of IOTA CE hours does not imply endorsement of specific course content, products, or clinical procedures by IOTA.
  • Kentucky: Kentucky Board of Licensure for Occupational Therapy has approved Foundations for 27 Contact Hours.
  • Tennessee: Tennessee Occupational Therapy Association; Approved for 27 CEs; Valid 10/13/2025-10/13/2026
  • Texas: Texas Occupational Therapy Association, 27 Hours, Approval #2063, Valid 07/01/26 – 07/01/27; Approval #453-02, Valid 3/1/23-3/1/24
  • 27 CE Credits
  • 27 CEUs
  • 27 Credits
  • 27 Contact Hours
  • 27 Hours
  • TARGET AUDIENCE

    PhysicianChiropractorsAcupuncturistOsteopathPhysical TherapistsOccupational TherapistsMedical DoctorsAthletic TrainersManual TherapistsMassage Therapist

    SPECIALITIES

    Musculo Skeletal systemPhysical Therapy

    SUGGESTED HOTELS

    CONFERENCE VENUE

    LocationStretch to Win Institute
    580 N 54th St #1, Chandler

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