How to Become a Massage Therapist in North Dakota

The State of North Dakota Massage Therapist Requirements

Throughout the 739,482 square miles of the Roughrider State, approximately 714 massage therapists work to help the more than 762,062 people in their state find relief from pain, rehabilitation from injuries, and comfort in the midst of stress and anxiety.

With 121,889 people in Fargo, 72,777 people in Bismarck, and 56,500 people in Grand Forks, massage therapists who work in North Dakota can find an engaged environment to open, continue, or join a massage therapy business.

How Do I Become A Massage Therapist in North Dakota?

If you’re ready to move into your career as a massage therapist in North Dakota, you must register with the North Dakota Board of Massage. The registration fee is $150. Once you are registered, you must receive licensure by the Board. If you do not register, you will be working illegally and can receive a fine.

In order to receive this license, you must complete a minimum of 750 hours from an approved massage therapy program and pass a national massage licensing examination.

You can find application request forms on their website.

Where Can I Study?

The North Dakota Board of Massage provides a list of approved schools where future LMTs can complete their 750 required hours.

Below are two approved schools in North Dakota to help you get started on what you may be looking for in a massage therapy education.

• Williston State College: Hoping to provide students with the skills “required to successfully function in the delivery of healthcare as a massage therapist,” this school gives students the opportunity to learn about the human body, how it functions, the effects of injury or disease, and the benefits of massage to maximize function.
• Josef’s School of Hair Design: North Dakota’s longest lasting massage therapy program, this school helps students learn techniques in a healthy environment with appropriate client/therapist relationships and the essentials in proper body mechanics.

How Much Will I Earn?

The average annual wage of a massage therapist in North Dakota was $49,976 in 2021. This is on the higher side of state earnings, with the average national salary at $53,222. Massage therapists who work in Fargo have the opportunity to earn a higher salary as well, with the average for this city at $49,933 annually.

“I take a massage each week. This isn’t an indulgence; it’s an investment in your full creative expression/productivity/passion and sustained good health.” – Robin Sharma

In North Dakota, where prairie skies stretch wide and wellness is woven into the heartbeat of local life, massage therapy is more than a luxury; it’s a lifestyle. Whether you’re soaking in the serenity of Medora, working with oilfield workers in Williston, or helping Fargo’s busy professionals unwind after a long week, a career in massage therapy gives you the power to heal with your hands.

This guide will walk prospective massage therapists through every step of how to become a massage therapist in North Dakota. From understanding the state’s massage therapy education requirements to preparing for the Massage & Bodywork Licensing Exam (MBLEx) and submitting your application to the North Dakota Board of Massage Therapy, we’ve got you covered. If you’re ready to master massage modalities like deep tissue or aromatherapy, embrace high professional standards, and support others on their wellness journeys, this is where it starts.

Educational Requirements

To become a licensed massage therapist in North Dakota, you must complete a minimum of 750 hours of education from a board-approved massage therapy program or one accredited by a recognized national agency. These programs are designed to provide a comprehensive understanding of the human body, massage theory, and hands-on experience to prepare you for a successful career in massage therapy.

Of these 750 hours, at least 500 hours must be classroom instruction, including 150 hours in anatomy, physiology, and kinesiology, and 10 hours in First Aid and CPR. The remaining hours cover massage modalities, business practices, ethics, and at least 250 hours of supervised practical application. This hands-on training must be completed under the guidance of a licensed massage therapist, making sure that students gain direct experience in massage techniques.

If you complete your training at a North Dakota board-approved school, such as Williston State College or the Spectrum School of Massage, these requirements will be included as part of your curriculum.

What is the MBLEx?

The Massage & Bodywork Licensing Examination (MBLEx) is a standardized exam that tests your knowledge of fundamental massage therapy principles, including anatomy, physiology, massage techniques, and ethical standards.

The MBLEx is administered by the Federation of State Massage Therapy Boards (FSMTB) and is required for massage licensure in most states, including North Dakota. It is designed to assess the competency of entry-level massage therapists and confirm that they are prepared to practice safely, ethically, and effectively.

To become a licensed massage therapist in North Dakota, you must submit a passing score from the MBLEx (or an equivalent national licensing exam) directly from the testing agency to the North Dakota Board of Massage Therapy.

Out-of-State License Transfer

If you hold a license from another state and wish to practice massage therapy in North Dakota, you must apply for reciprocity through the North Dakota Board of Massage Therapy. The Board will review your application to determine if your education, licensure, and work history meet North Dakota’s licensure requirements. You must have actively practiced for at least two of the last three years, and your background must align with North Dakota’s standards or exceed them.

Applicants for reciprocity must also complete a Jurisprudence Exam and undergo a criminal background check, including fingerprinting.

Application Process for Licensure

After completing your massage therapy education and passing the MBLEx (or a recognized national licensing exam), you can apply for licensure in North Dakota. The process includes:

• Submitting Proof of Education: An official transcript and affidavit must be sent directly from your massage school to the Board.
• MBLEx Scores: Have your official score report sent directly from the FSMTB to the North Dakota Board of Massage Therapy.
• Application Form: Complete the online application or submit a paper application available on the board website.
• Application Fee: Pay the application fee by money order or cashier’s check (no personal checks accepted).

Background Check and Fingerprinting

North Dakota requires all massage therapy applicants to complete a background check as part of the licensure process. This includes:

• Fingerprinting: You will receive two fingerprint cards from the North Dakota Board of Massage Therapy after your application is submitted. These must be completed and returned for processing.
• Background Check: A criminal history background check is required to confirm that you meet the Board’s ethical standards and are eligible for licensure.
• Fees and Processing: Be prepared to pay any associated fees for fingerprinting services, and allow several weeks for processing and approval.

Continuing Education Requirements

To maintain your license, North Dakota requires massage therapists to complete continuing education based on how long they’ve been actively practicing:

• Hours Required: Most licensees must complete 24 hours of continuing education every two years, including at least 12 hands-on classroom hours. Fewer hours are required for those with 15 or more years of experience.
• Approved Courses: Courses must meet the North Dakota Board of Massage Therapy guidelines. Remote learning is allowed, but no more than 50% of your hours can be earned online.
• Renewal Process: Continuing education is reported during the license renewal period. The Board may randomly audit licensees, so it’s important to keep records of completed coursework.

North Dakota Massage Insurance Requirements

While not legally required, carrying massage liability insurance is strongly recommended for massage therapists in North Dakota to protect their practice and provide peace of mind. Insurance coverage helps safeguard against potential claims, supports professional standards, and adds credibility to your business.

Here’s a closer look at why insurance matters, the types of North Dakota massage liability insurance available—such as professional liability and general liability coverage—and additional resources to help licensed massage therapists build a secure and reputable career across the state.

Importance of Insurance

Massage insurance provides essential protection against various risks associated with the profession. Key reasons to consider obtaining insurance include:

• Professional Liability: This covers legal expenses and damages if a client sues you for malpractice or negligence. This is crucial as it protects you from claims related to injuries or dissatisfaction with your services.
• General Liability: Protects against accidents and injuries that may occur on your business premises. For instance, if a client slips and falls in your office, general liability insurance covers medical costs and potential legal fees.
• Identity Protection Coverage: Provides protection against identity theft and threat incidents that would put personal information at risk. Typically includes credit monitoring, dark web scans, and recovery services if your information is jeopardized.
• Personal and Advertising Injury Coverage: This coverage can help protect you if you’re accused of libel, slander, or false advertising.

Resources

For more detailed information on insurance requirements and recommendations for massage therapists in North Dakota, consider the following resources:

• Interstate Massage Compact: The Interstate Massage Compact, or IMpact, is a multistate license option for massage therapists who work in more than one state. Currently, only Nevada and Ohio have legislation enacted, but therapists should keep a sharp eye on this for licensure reasons.
• North Dakota Board of Massage Therapy: Regularly visit the state website for any updates on regulations and state laws.
• MBLEx Guide: Dependable educational platform for completing the MBLEx.

Employment and Career Opportunities

Once you become a licensed massage therapist in North Dakota, a range of employment opportunities becomes available across the state. Here’s an overview of potential workplaces, salary expectations, and job search tips to help you launch a rewarding career in massage therapy.

Workplaces

Massage therapists find work in diverse settings throughout North Dakota, including:

• Spas and Wellness Centers: Common employers across cities like Fargo, Bismarck, and Grand Forks, where massage is offered for both relaxation and therapeutic care.
• Clinics and Hospitals: These settings may offer opportunities to work alongside healthcare providers in rehabilitation and pain management roles.
• Chiropractic Offices: A natural fit for massage therapists skilled in deep tissue or sports massage, offering care that complements chiropractic treatment.
• Private Practice: Many North Dakota therapists choose to open their own businesses, offering personalized care in rural communities or urban hubs like Minot and Williston.
• Fitness Centers and Sports Facilities: From college athletes in Grand Forks to oil field workers in western North Dakota, massage therapists play a necessary role in injury prevention and recovery.

Salary Expectations

The salary for massage therapists varies based on location, experience, and place of employment. According to recent data:

• The median annual wage for massage therapists in the United States was $55,310 as of May 2023 (Bureau of Labor Statistics).
• In North Dakota, massage therapists can anticipate varying salary ranges based on experience, location, and work setting. As of February 2025, the average annual salary for a massage therapist in the state is approximately $58,491, with most professionals earning between $52,359 and $67,190 (Salary.com).

Job Outlook

The demand for massage therapists is projected to grow significantly. Employment of massage therapists is expected to increase by 18% from 2022 to 2032, much faster than the average for all occupations. This growth will result in approximately 22,000 new job openings each year, driven by increasing awareness of the health benefits of massage therapy and the need to replace retiring workers.

Job Search Tips

To successfully land a job as a massage therapist, consider the following strategies:

• Networking: Connect with other professionals in the field through industry events, local massage therapy associations, and online platforms.
• Job Search Platforms: Use job search websites such as Indeed, Glassdoor, and specialized platforms for healthcare professionals to find job openings.
• Continuing Education: Stay updated with the latest techniques and trends in massage therapy by attending workshops and courses. This not only increases your skills but also makes you more attractive to potential employers.
• Marketing: If you are starting a private practice, invest in marketing efforts such as creating a professional website, using social media, and establishing partnerships with local businesses to attract clients.

Ensure Your Peace of Mind with Liability Insurance

As a massage therapist, protecting yourself and your practice is crucial. Whether you’re a seasoned professional or a student starting your journey, liability insurance is an essential safeguard. Massage Magazine Insurance Plus offers comprehensive policies that cater to your specific needs, providing unmatched peace of mind. Here’s why you should consider this vital coverage:

Access to Continuing Education: Stay ahead in your field with access to a wide range of continuing education resources. Our policyholders enjoy exclusive benefits that help them keep their skills sharp and up-to-date.

Comprehensive Member Benefits: Join a community that offers more than just insurance. With Massage Magazine Insurance Plus, you gain access to numerous member benefits, including industry news, resources, and industry-exclusive discounts that can propel your career forward.

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