ATs must complete at least 54 classroom hours of BOC-approved dry needling training, which includes instruction in clinical application. The procedure has to be ordered by a supervising physician and administered in a designated room or facility separate from a gymnasium, locker room, sports field or sideline.

ATs must obtain approval from the board before performing dry needling. This involves completing at least 80 hours of instruction in a course approved by BOC, NATA or the United States armed forces. Of these, a minimum of 40 hours should cover specific content areas such as dry needling theory, techniques, indications, contraindications, infection control, emergency procedures and proper documentation. The remaining 40 hours must be practical, hands-on instruction under the guidance of a qualified health care practitioner with at least five years of dry needling experience.

An AT may perform dry needling only in accordance with the level of education and training successfully completed. Education and training must have been approved by the BOC and includes clinical instruction and application on the performance of dry needling.

ATs are required to complete a total of 150 hours of education and training in dry needling. This includes at least 25 hours of in-person didactic education from an approved postgraduate course, encompassing both written and practical examinations. The remaining 125 hours can be fulfilled through approved graduate-level courses or continuing education relevant to dry needling. Prior to performing the technique, athletic trainers must submit documentation verifying their qualifications to the Nevada State Board of Athletic Trainers for approval.