Professional Association of Therapeutic Horsemanship International (PATH Intl.), formerly the North American Riding for the Handicapped Association (NARHA), is a non-profit organization based in Denver, Colorado, that promotes the benefits of therapeutic horseback riding and other equine-assisted activities and therapies for people with physical, emotional and learning disabilities. PATH Intl. serves people of all ages, backgrounds and walks of life. They serve people with both physical challenges as well as those with mental challenges . Some examples of challenges participants face are multiple sclerosis, down syndrome, post traumatic stress disorder, autism and traumatic brain injuries. PATH Intl. is a 501(c)(3) organization.

The PATH Intl. mission statement: "The Professional Association of Therapeutic Horsemanship International (PATH Intl.) promotes safety and optimal outcomes in equine-assisted activities and therapies for individuals with special needs."

With more than 860 member centers, a total of nearly 62,000 children and adults, including more than 4,000 veterans, find a sense of independence through involvement with horses. These member centers range from small, one-person programs to large operations with several riding instructors. In addition to horseback riding, a center may offer any number of equine-assisted activities and therapies such as driving, vaulting, trail riding, competition, hippotherapy, equine-facilitated psychotherapy, groundwork, and stable management. Through a wide variety of educational resources, the association helps individuals start and maintain successful programs. As of December 31, 2018, there are 873 centers that are members of PATH Intl. and 4,776 certified professionals working in these centers. On top of the certified professionals there are 61,642 volunteers working in the centers. There are over 7,943 different equines that are used as part of these programs. The centers and there staff and volunteers serve 68,929 adults and children with varying disabilities. Within the 68,929 participants in these programs 6,724 of them are veterans.

PATH Intl. provides opportunities for people with varying ability levels to challenge themselves physically and emotionally and to set goals to improve their quality of life via the horse. Training instructors and equine specialists to support and facilitate this process, accrediting centers to ensure safety, educating the public about the positive impact of the human/animal bond and setting standards for safe and effective equine-assisted activities and therapies are part of PATH Intl. long-range goals.