Tennessee Code Title 63. Professions of the Healing Arts § 63-13-104

(b)(1) Except as provided in § 63-13-303, the scope of practice of physical therapy is under the written or oral referral of a licensed:

(2) The scope of practice of physical therapy shall not include the performance of treatment where the physical therapist or physical therapist assistant uses direct thrust to move a joint of the patient's spine beyond its normal range of motion without exceeding the limits of anatomical integrity.