Most cranial sacral therapy is done by an osteopath or Doctor of Osteopathy. Some massage therapists say they practice CST.

But, CST has two parts. Cranial therapy and spinal therapy. Spinal manipulation/therapy by a CST can be useful. CST's claim to be able to read and adjust/move the cranial plates. But, there is no evidence that cranial work has any medical basis. When studied with multiple patients diagnosed by multiple CST's, there was no common diagnosis. Some on NT have tried it and ended up with headaches.