State-by-State Massage Therapy Regulations
To make it easier for you to research your state board requirements, we provide a drop-down menu for each state’s massage therapy profession regulations. Find information on:
- Initial license and renewal processes
- Suggested approved state schools
- Education, CE requirements, and approved providers
- Exams, fees, and record check information
License Requirements for Massage Therapists by State
We want to make finding the information you need easy. That's why we've put together this easy guide to the requirements of all 50 states.
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Stay Informed on Massage Therapy Licensing & Regulations
Understanding massage therapists’ state laws and regulations is necessary for maintaining compliance and practicing legally. Each state—and even jurisdictions like the Virgin Islands and the District of Columbia—has unique rules and regulations governing massage therapy practice. Whether you’re a licensed massage therapist looking to renew your professional licensing or a newcomer preparing for initial licensure, staying updated on state board requirements is important.
At MASSAGE Magazine, we provide the latest updates on massage therapy laws, licensure, and continuing education (CE) requirements for all 50 states. From national certification board exams to local jurisdiction laws, you’ll find everything you need to practice massage therapy legally and ethically.
Forty-six states, the District of Columbia and four Canadian provinces currently offer some type of credential to professionals in the massage and bodywork field – usually licensure, certification or registration.
To view requirements click on a state or province listed below.
Note: Even if your state or province is listed here, check with city or county officials for information about local requirements and ordinances.
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Massage Therapy Licensing & State Regulations
Each state sets its own massage therapy board standards for professional licensing, education, training, and renewal. Some states require only a person who has passed an examination like the MBLEx to become a licensed massage therapist, while others mandate a specific number of continuing education hours from approved providers to maintain good standing.
Key Considerations for Massage Therapy Licensure:
✔ Minimum Training Requirements – Most states require completion of a massage therapy school or program with a set number of hours.
✔ State Board Examination – Many states require the MBLEx or another recognized exam.
✔ CE Requirement & Renewal – Staying compliant with continuing education assures massage therapists to keep their licenses active and service-relevant.
✔ Local Requirements & Scope of Practice – Laws differ based on state regulation, so it’s necessary to know what services you can legally provide in your region.
How to Prepare for the MBLEx Exam – Learn how to pass your massage therapy board exam and start your career.
Massage Therapy Credentials: Licensure, Certification, and Accreditation
Massage therapy credentials vary by state, but they generally fall into three categories:
- Licensure – The most common and legally binding credential. States like New York and Texas require massage therapists to complete a set number of training hours (often 500-1,000), pass the MBLEx, and meet continuing education requirements. Without a license, practicing massage therapy in these states is illegal.
- Certification – Some states, like Minnesota, do not require a state license but offer voluntary certification. Certification may also be used for additional specialties, such as medical or sports massage.
- Accreditation – This applies to massage therapy schools rather than individuals. Programs accredited by organizations like the Commission on Massage Therapy Accreditation (COMTA) ensure students receive quality education that meets national standards.
Each state sets its own rules, meaning what’s required in California might not apply in Florida. Some states regulate at the state level, while others leave it up to local municipalities.
Massage Therapy State Licensing Requirements FAQs
Massage therapy licensure renewal is typically required on a regular basis, often every 1-2 years, with continuing education hours mandated by approved providers.
Most states require a separate license to practice massage therapy within their jurisdiction. Some states offer reciprocity or license transfer options, but additional education, training, or exams may be required.
You can find your state board contact information, professional licensing details, and scope of practice regulations through our state-by-state regulation guide.
Local regulations are not readily listed on state boards' websites since these vary based on each and every jurisdiction within the state. Check your city or municipal authority to see what kind of regulations they have for a new massage therapist. There can be tax or business registration requirements, registering with emergency services, and even massage insurance requirements that all need to be met before you open your doors and start seeing new clients.
Each state has its own rules and regulations, but most require completing an accredited massage therapy program, passing a board-approved examination (such as the MBLEx), and fulfilling continuing education (CE) requirements for renewal. Without meeting these requirements, individuals may not be legally permitted to provide such services.
Not all states require national certification board credentials, but many use MBLEx or similar exams as part of their initial licensure process. Always check with your state board for the most current regulations.