Letters after a name are only meaningful when you understand what they represent. Here's what each of Dr. Lamarche's credentials required — and why they change the quality of care you receive.
Most chiropractors graduate with a DC and stop there. Dr. Lamarche holds four additional advanced certifications — each one requiring separate postgraduate training, examinations, and clinical hours. Together they represent a scope of practice that is genuinely uncommon.
American Chiropractic Board of Sports Physicians (ACBSP)
100+ hours of postgraduate sports medicine training covering injury assessment, rehabilitation, taping, bracing, exercise prescription, and the medical management of athletes. Candidates must also pass a rigorous written and practical examination administered by the ACBSP.
A CCSP-certified provider understands how athletes are built differently — how they train, what they need to return to performance (not just to be pain-free), and how to manage sports injuries at the clinical level. Dr. Lamarche doesn't treat athletes like regular patients. She treats them like athletes.
It requires significant time and financial investment beyond chiropractic school. Only a fraction of practicing DCs pursue it, and fewer still maintain the continuing education requirements to keep it active.
Board of Certification (BOC) · Requires a separate accredited degree
Athletic training is a separate healthcare profession with its own accredited degree programs. Dr. Lamarche completed a full athletic training degree before pursuing chiropractic — meaning she has dual-profession training, not just a chiropractic certification in sports. The BOC exam is one of the most comprehensive allied health examinations in sports medicine.
Athletic trainers live on the sideline. They are trained in acute injury evaluation, taping and bracing, immediate care protocols, concussion management, and the full rehabilitation continuum from day of injury through return to play. This background means Dr. Lamarche thinks like a sports medicine practitioner, not just a chiropractor who occasionally sees athletes.
When you describe an injury, she's not translating from textbook — she's drawing on clinical experience managing athletes in real time.
Almost no chiropractors hold an ATC credential because it requires completing an entirely separate degree program. It represents thousands of additional clinical hours that most DCs simply have not logged.
National Strength and Conditioning Association (NSCA)
The CSCS is the gold standard credential in strength and conditioning — held by performance coaches at the collegiate and professional sports levels. It requires a bachelor's degree, a comprehensive examination covering exercise science, nutrition, testing and evaluation, and program design, and ongoing continuing education to maintain.
A CSCS-certified provider understands periodization, load management, strength programming, and how training variables affect the body — not just how injuries happen, but how training causes them and how training can prevent them. Dr. Lamarche can review your training schedule and identify what's contributing to your injury or increasing your risk. She can also help you continue training around an injury rather than simply telling you to stop.
When she prescribes exercise therapy, it is designed with the precision of a strength coach — not as a generic set of rehab movements.
The CSCS perspective means your care plan accounts for performance, not just pain. Getting back to your sport is the goal — not just feeling better on a treatment table.
Prague School of Rehabilitation · Czech Republic
DNS is a neurological rehabilitation approach developed at the Prague School of Rehabilitation — one of the most respected sports medicine and rehabilitation programs in the world. Certification requires completing a structured series of international courses and practical examinations focused on developmental movement neurology, spinal stabilization, and breathing mechanics.
Every sport depends on how well your body stabilizes under load. DNS identifies and corrects failures in your deep stabilization system — the coordinated activation of the diaphragm, pelvic floor, and deep spinal muscles that creates a foundation for all athletic movement. When this system works poorly, joints are exposed to excess load, movement becomes compensated, and injury risk rises.
For athletes, DNS is the difference between masking an injury and actually fixing the movement dysfunction that caused it. It explains why the same ankle sprain keeps coming back, why your shoulder keeps tightening up, and why your low back goes out every time you push your training intensity.
Dr. Lamarche explains DNS in more detail on its own dedicated page — including how it works in practice and which conditions respond best to it.
DNS Explained →Parker University College of Chiropractic
The DC degree requires 4+ years of graduate-level education covering anatomy, physiology, diagnosis, neurology, orthopedics, and clinical practice. It is the foundation on which all of Dr. Lamarche's other training is built — and what allows her to diagnose, treat, and manage musculoskeletal conditions at a clinical level.
DC + CCSP + ATC + CSCS + DNS is a combination that does not exist in most chiropractic offices in the country. If you are an athlete, an active adult, or someone with a complex condition that has not responded elsewhere, this depth of training matters — and it changes what is possible in your care.
