athletic trainers, have the easiest quickest access to athletes as well as physical therapist, where doctors and chiropractors often do not have the time or bandwidth to dry needle patients. from personal experience a lot of doctors don’t even see a lot of validity in dry needling, but from personal experience dry needling has also been a major relief of muscle tension for people like me in deeper muscular tissue. The process of having to go through a doctor is time consuming and unnecessary one athletic trainer who is certified in dry needling should just be able to do it themselves. 
Especially in the college athletic world seeing a doctor could take one to two weeks to get scheduled and then another few days to a week to actually get dry needled. In the same circumstance, an athlete who sees their athletic trainer daily at the collegiate level should be able to get dry needle within a day, but currently can’t because of Virginia rules. So many other states such as North Carolina allow people to get. dry needling done without an MD. let’s free up the doctor time and allow athletic trainers and even physical therapists to participate in this role moving forward. let’s also allow this to happen without a doctors order being needed as long as the athletic trainer/physical therapist are trained and certified. This would make the world of injuries more efficient and allow people to live into their specialized roles better to help the athletic world and even general public more