The letters behind someone’s name can be confusing, so it is always a good idea to ask anyone working on your horse what the letters behind their name mean and what kind of education they have. CVSMT stands for Certified Veterinary Spinal Manipulative Therapy. These letters behind the name of a veterinarian or chiropractor (human) means that they have completed an animal chiropractic course at a US Dept. of Education Accredited Institution. For the health and safety of your animals, only veterinarians and chiropractors are legally allowed to perform adjustments on them. Dr Gnadt’s certification in VSMT is from The Healing Oasis Wellness Center.