Tuck Chiropractic Clinic was opened in Pulaski in September of 1979 by Dr. Nathan Tuck with the help of his wife Barbara. As the clinic grew, Dr. Tuck had the opportunity to acquire the Galax office from the Bowie family in 1982. Dr. Robert Bowie had practiced in Galax since 1928 as a leader in the community and in the chiropractic profession. Although he desired to continue seeing patients, Dr. Bowie had to discontinue seeing patients in 1981 due to his health.
After treating patients in both practices for several years, Dr. Tuck, Sr. opened a new practice in Fairlawn in 1990. Tuck Chiropractic quickly grew from there opening the Christiansburg office in 1993, Blacksburg office in 1998, and Hillsville office in 2001.

In 1997, Dr. N. Ray Tuck, Jr., a graduate of National Chiropractic College (the same as his father), joined Tuck Chiropractic with the opening of the Blacksburg office. In 2002, Dr. Tuck, Jr., purchased the Blacksburg and Christiansburg offices from his father. In 2005, Dr. Tuck, Sr., suffered a severe stroke. After six months of intensive rehab, he died due to complications from the stroke. During the rehab process, Dr. Tuck, Jr., took over the day to day operations of his father's clinics ultimately buying them from his mother.

In 2007, Dr. Michael Becker, long time friend to both Tucks and a practicing chiropractor in Roanoke, decided to retire. Dr. Becker contacted Dr. Tuck, Jr. concerning his offices in Roanoke and Rocky Mount. In June of 2007, the Becker Clinics became a part of Tuck Chiropractic.

In the spring of 2009, the Cave Spring office was opened.  The following year the Vinton location was added.  In that same year, two practices merged with Tuck Chiropractic.  These were located in Bedford, Dr. A.J. LaBarbera, and in Christiansburg, Dr. Tom Dickerson.  Dr. Dickerson, his staff, and patient base relocated to the current Christiansburg Tuck Chiropractic location.
Thanks to a business model based on BEST PRACTICES in clinical procedures and business, Tuck Chiropractic continues to grow and create leaders within its organization.