How to Become a Massage Therapist

Quick Answer: Becoming a licensed massage therapist typically takes 6 months to 2 years, depending on your state’s hour requirements and whether you attend full-time or part-time. Training costs range from $5,000 to $20,000 at massage therapy schools. Massage therapists earn $29,916-$74,790 annually depending on experience and specialization, with a median salary of $49,860. The field is growing at 18% through 2032 - much faster than average - with approximately 24,000 job openings each year.


What does a Massage Therapist do?

Massage therapists use touch to manipulate the soft tissues of the body, including muscles, connective tissue, tendons, ligaments, and joints. Their work relieves pain, reduces stress, promotes relaxation, and supports rehabilitation from injuries. Massage therapy is one of the oldest healing practices in the world and continues to grow as both healthcare providers and the general public recognize its therapeutic benefits.

Licensed massage therapists work in a wide variety of settings, from luxury spas to hospital rehabilitation units. Some build private practices and set their own schedules, while others work as part of multidisciplinary healthcare teams. The profession offers a unique combination of hands-on healing, personal connection with clients, and flexibility in how and where you work.

Daily Responsibilities

  • Consult with clients to assess their health history, pain points, and treatment goals
  • Develop individualized treatment plans based on client needs and presenting conditions
  • Perform therapeutic massage using techniques such as Swedish, deep tissue, myofascial release, trigger point therapy, and sports massage
  • Apply appropriate pressure and manipulate muscles and soft tissues to relieve tension and improve circulation
  • Document client sessions including techniques used, areas treated, and client response
  • Maintain clean, safe, and professional treatment rooms between sessions
  • Educate clients on stretching, posture, and self-care practices to extend treatment benefits
  • Track client progress and adjust treatment approaches over multiple sessions
  • Manage scheduling, billing, and business operations (especially in private practice)
  • Stay current on new techniques, research, and continuing education requirements

Work Environments

  • Day Spas and Resort Spas - Providing relaxation and therapeutic massage to spa guests in a luxury setting
  • Medical and Chiropractic Offices - Working alongside physicians, chiropractors, and physical therapists to treat pain, injuries, and chronic conditions
  • Sports Teams and Athletic Facilities - Helping athletes prevent injuries, recover from training, and maintain peak performance
  • Private Practice - Operating your own massage therapy business, either in a dedicated office, shared clinic space, or providing mobile/outcall services
  • Hospitals and Rehabilitation Centers - Supporting patient recovery from surgery, injury, or chronic illness as part of an integrated care team
  • Corporate Wellness Programs - Providing chair massage and stress relief services at offices and corporate events
  • Fitness Centers and Health Clubs - Offering massage services to gym members and fitness enthusiasts
  • Hospice and Palliative Care - Providing comfort-focused massage to patients with terminal or chronic illness

Physical and Mental Demands

Massage therapy is a physically active profession. You will stand for extended periods, use sustained hand and arm pressure throughout multiple sessions per day, and position your body to deliver effective treatment while protecting your own joints. Most therapists work 15-30 hands-on hours per week to manage physical fatigue and prevent repetitive strain injuries to the hands, wrists, and shoulders. Proper body mechanics - using your legs, core, and body weight rather than relying solely on hand and arm strength - is essential for career longevity.

Mentally, massage therapists need strong interpersonal skills. You will work closely with people who may be in pain, stressed, or vulnerable. Active listening, empathy, and the ability to create a safe and comfortable environment are critical. You must also understand anatomy, physiology, and pathology well enough to identify contraindications (conditions where massage could cause harm) and to adapt your approach for each client’s needs.

Personality traits that fit

  • Empathetic and compassionate - Genuine care for others’ well-being drives effective treatment
  • Strong communicator - Clearly discussing treatment plans, expectations, and boundaries with clients
  • Physically aware - Understanding body mechanics and maintaining your own physical health
  • Detail-oriented - Recognizing subtle changes in tissue texture, muscle tension, and client response
  • Self-disciplined - Managing your schedule, continuing education, and physical self-care consistently
  • Professional and ethical - Maintaining appropriate boundaries and upholding the standards of the profession

Massage therapy certification and license types

Massage therapists must be licensed in most states to practice legally. Licensing requirements vary by state, but nearly all require completing an approved training program and passing an examination. Here is the credentialing hierarchy:

Certification/License LevelRequirementsWhat It DemonstratesTypical Timeline
Massage Therapy TrainingComplete state-approved program (500-1,000+ hours)Foundational massage therapy knowledge and skills6 months-2 years
MBLEX (Massage & Bodywork Licensing Examination)Pass the FSMTB-administered examCompetency required for licensure in most statesDuring or after training
State License/CertificationVaries - MBLEX passage, training hours, background checkLegal authorization to practice massage therapyUpon completing training and exam
National Certification (BCTMB)750+ hours training, pass exam, CPR certificationAdvanced credential recognized across states1-2+ years
Specialty CertificationsAdditional training in specific modalitiesAdvanced expertise in areas like medical massage, sports massage, or oncology massageOngoing

Note: As of 2026, 46 states and the District of Columbia regulate massage therapy practice. Requirements range from 500 hours of training (some states) to 1,000+ hours (states like New York and Nebraska). Always check your state’s specific licensing requirements before enrolling in a program.

Licensing Exam Options

ExamAdministered ByAccepted InFormat
MBLEX (Massage & Bodywork Licensing Examination)FSMTB (Federation of State Massage Therapy Boards)Most states that require licensure100 questions, computer-based, 2 hours
State-Specific ExamsIndividual state boardsOnly in that stateVaries by state

The MBLEX is the most widely accepted licensing exam and is the primary pathway to licensure in the majority of states. Some states previously accepted alternative exams, but the MBLEX has become the dominant standard.


Step-by-step path to becoming a Massage Therapist

Step 1: meet basic requirements

Before enrolling in a massage therapy program, you will need:

  • Age: At least 18 years old (some states allow enrollment at 16-17 with parental consent)
  • Education: High school diploma or GED
  • Health: Physical ability to perform massage (standing, sustained hand pressure, body mechanics)
  • Background check: Most states require a criminal background check for licensure
  • CPR/First Aid certification: Required by many programs and state licensing boards

No prior massage experience is required, though an interest in anatomy, health, and working with people is helpful. Some students find it valuable to receive professional massages before enrolling to understand the client experience.

Step 2: choose your training path

Path A: massage therapy school or program (most common)

The vast majority of massage therapists attend a dedicated massage therapy school or a community college program.

Program types:

  • Certificate/Diploma programs: 500-1,000+ hours, 6-18 months (most common)
  • Associate degree programs: 2 years, includes general education courses alongside massage training
  • Intensive/accelerated programs: Full-time schedules that compress training into the shortest timeframe

What to look for in a program:

  • Approved by your state’s licensing board
  • Meets or exceeds your state’s minimum hour requirements
  • Accredited by COMTA (Commission on Massage Therapy Accreditation) or a regional accreditor
  • Includes hands-on clinical practice with real clients
  • Offers MBLEX preparation
  • Strong job placement support

Benefits:

  • Structured curriculum covering anatomy, physiology, pathology, and multiple massage modalities
  • Supervised clinical hours for hands-on practice
  • Networking with instructors and fellow students
  • Many programs offer flexible scheduling (evening and weekend options)

Path B: community college program

Some community colleges offer massage therapy programs that lead to a certificate or associate degree.

Advantages:

  • Generally lower tuition than private massage schools
  • May include transferable college credits
  • Access to financial aid, including federal grants and loans
  • Broader educational experience with general education courses

Considerations:

  • Programs may take longer than private schools (especially associate degrees)
  • Class schedules may be less flexible
  • Availability varies by region

Path C: career changer route

Switching to massage therapy from another profession is common. Many massage therapists begin their training in their 30s, 40s, or later.

  • Healthcare background: Nurses, physical therapy aides, and other healthcare workers bring valuable anatomy and patient care knowledge
  • Fitness professionals: Personal trainers and yoga instructors understand body mechanics and movement
  • Corporate professionals: Many career changers seek massage therapy for its flexibility and hands-on nature
  • Veterans: Military experience with discipline, physical fitness, and healthcare may qualify for GI Bill funding

Step 3: complete required training hours

Training hour requirements vary significantly by state. Your program must meet or exceed your state’s minimum:

Common state hour requirements:

  • 500 hours: States with lower requirements (e.g., Vermont, Kansas)
  • 600-750 hours: Mid-range states (e.g., Florida, Texas, California)
  • 1,000+ hours: States with higher requirements (e.g., New York, Nebraska, West Virginia)

Core curriculum typically covers:

  • Anatomy and physiology (100-200 hours)
  • Pathology and contraindications
  • Kinesiology (study of movement)
  • Swedish massage technique
  • Deep tissue massage
  • Myofascial release
  • Trigger point therapy
  • Hydrotherapy
  • Business practices and ethics
  • Professional boundaries and communication
  • Clinical practicum with supervised client sessions
  • CPR and first aid (if not completed prior)

Progression milestones:

  • Month 1-2: Anatomy, physiology, and foundational Swedish massage techniques
  • Month 3-4: Deep tissue, myofascial release, pathology, and contraindications
  • Month 5-6: Specialty modalities, business practices, ethics, clinical practicum
  • Month 7-12+: Advanced techniques, extended clinical hours, MBLEX preparation (in longer programs)

Step 4: pass the MBLEX or state exam

The Massage and Bodywork Licensing Examination (MBLEX) is required for licensure in most states.

MBLEX exam details:

  • Format: 100 multiple-choice questions, computer-adaptive
  • Time limit: 2 hours
  • Content areas: Anatomy and physiology, kinesiology, pathology and contraindications, benefits and effects of techniques, client assessment, ethics and boundaries, business practices, and guidelines for professional practice
  • Cost: $195 per attempt
  • Pass rate: Approximately 70% on first attempt (varies by year)
  • Scoring: Scaled score; minimum passing score set by FSMTB
  • Retake policy: Can retake after 30 days (up to 3 attempts per year)

How to prepare:

  • Complete all coursework in your training program thoroughly
  • Use MBLEX-specific study guides and practice exams
  • Focus on anatomy, physiology, and kinesiology - these areas make up the largest portion of the exam
  • Form study groups with classmates
  • Many schools offer MBLEX review courses as part of or in addition to the regular curriculum

Step 5: obtain your state license

After passing the MBLEX (or your state’s required exam), you must apply for your state license.

Typical state licensing requirements:

  1. Complete a state-approved massage therapy training program
  2. Pass the MBLEX or state-required examination
  3. Submit a license application to your state’s massage therapy board
  4. Pass a criminal background check
  5. Provide proof of CPR certification (required in many states)
  6. Pay the licensing fee ($50-$300 depending on state)
  7. Some states require proof of liability insurance

License titles vary by state:

  • Licensed Massage Therapist (LMT)
  • Certified Massage Therapist (CMT)
  • Licensed Massage Practitioner (LMP)
  • Registered Massage Therapist (RMT)

The title varies, but the credential serves the same purpose: legal authorization to practice massage therapy in your state.

Step 6: start working

Once licensed, you can begin practicing in your preferred setting:

  1. Apply to spas, wellness centers, chiropractic offices, or medical practices
  2. Consider starting with an employer to build your client base and gain experience before going into private practice
  3. Build skills across multiple modalities and client populations
  4. Develop your professional network through local massage therapy associations
  5. Create an online presence if you plan to build a private practice

First-year tips:

  • Focus on developing proper body mechanics to protect your own physical health
  • Limit your hands-on hours to a sustainable level (15-25 hours per week)
  • Ask experienced therapists for mentorship
  • Start building a client base through excellent service and word-of-mouth referrals

Step 7: maintain your credentials

License maintenance:

  • Renewal period: Every 1-4 years depending on state (biennial is most common)
  • Continuing education: 12-48 CEU hours per renewal cycle (varies by state)
  • Renewal fee: $50-$250
  • CPR certification: Must remain current in most states
  • Liability insurance: Required or strongly recommended

Continuing education options:

  • Advanced technique workshops (sports massage, prenatal massage, oncology massage)
  • Anatomy and pathology updates
  • Ethics and professional boundaries courses
  • Business development and marketing
  • Online and in-person options available through NCBTMB-approved providers

Training Programs

Massage therapy school programs

Massage therapy programs are available at dedicated massage schools, career colleges, and community colleges nationwide. Programs typically include:

  • Hands-on technique practice (60-70% of program time)
  • Classroom instruction in anatomy, physiology, pathology, and kinesiology
  • Supervised clinical practicum with real clients
  • MBLEX examination preparation
  • Business practices and professional ethics
  • CPR and first aid certification

Look for programs accredited by COMTA (Commission on Massage Therapy Accreditation) or approved by your state’s licensing board. Accreditation ensures the program meets quality standards and may be required for financial aid eligibility.

What to expect during clinical practicum

Most massage therapy programs include a supervised clinical component where you practice on real clients. This is one of the most valuable parts of your training:

  • Work on a variety of clients with different body types, conditions, and preferences
  • Practice intake procedures, treatment planning, and session documentation
  • Receive feedback from instructors on your technique, body mechanics, and client communication
  • Build confidence in a supportive environment before entering the workforce
  • Learn to manage session timing and transitions between clients

Clinical hours typically make up 10-20% of total program hours and are completed in an on-campus student clinic or partnered external sites.

Community college programs

Community colleges in many states offer massage therapy certificate and associate degree programs. These programs often have lower tuition than private schools and may offer financial aid, including federal Pell Grants and state workforce development funds. Contact your local community college to check availability.


Cost Breakdown

ExpenseMassage School PathCommunity College Path
Tuition/Program Fees$5,000-$20,000$3,000-$10,000
Books & Study Materials$200-$600$200-$500
Massage Table & Supplies$300-$800$300-$800
MBLEX Exam Fee$195$195
State License Application$50-$300$50-$300
CPR Certification$50-$100$50-$100
Liability Insurance (first year)$150-$350$150-$350
TOTAL$5,945-$22,345$3,945-$12,245

How to pay for training

  • Financial aid: Federal grants (Pell Grant) and loans available for accredited programs
  • Veterans benefits: GI Bill covers many approved massage therapy programs
  • Payment plans: Most massage schools offer monthly payment options
  • Scholarships: AMTA (American Massage Therapy Association) and ABMP (Associated Bodywork & Massage Professionals) offer scholarships
  • Employer sponsorship: Some spas and wellness companies offer tuition reimbursement in exchange for a work commitment
  • State workforce programs: Many states offer grants for healthcare and vocational training
  • Tax deductions: Training costs may be tax-deductible as a career development expense (consult a tax professional)

Salary and Job Outlook

Massage Therapy

BLS OEWS, May 2024

U.S. median pay $57,950$27.86 per hour
Employment 96,040

Salary by Experience Level

According to BLS data, massage therapists earn:

Experience LevelHourly RateAnnual Salary
Entry-level (10th percentile)$14.38$29,916
Early career (25th percentile)$19.18$39,888
Mid-career (Median)$23.97$49,860
Experienced (75th percentile)$28.77$59,832
Senior/Specialist (90th percentile)$35.96$74,790

The mean (average) annual wage is $54,846. Massage therapists who specialize in medical or clinical settings, build strong private practices, or work in high-demand metropolitan areas often earn significantly more than the median.

Highest-paying specializations

  • Medical Massage Therapy: $55,000-$85,000 (working with physicians on injury rehabilitation and chronic pain management)
  • Sports Massage Therapy: $50,000-$80,000 (professional and collegiate athletes, sports teams, and athletic training facilities)
  • Craniosacral Therapy: $55,000-$85,000 (specialized technique focused on the central nervous system)
  • Oncology Massage: $50,000-$75,000 (specialized care for cancer patients, typically in hospital or hospice settings)
  • Neuromuscular Therapy: $50,000-$80,000 (advanced clinical work addressing nerve compression and chronic pain)
  • Private Practice Owners: $60,000-$120,000+ (setting your own rates, building a loyal client base, and controlling overhead)

Additional earnings opportunities

  • Tips: Clients at spas, resorts, and private practices commonly tip 15-20%, adding $5,000-$15,000+ annually
  • Private practice premium: Self-employed therapists set their own rates, typically $80-$150+ per session compared to $30-$50 per session as an employee
  • Mobile/outcall services: Higher session rates ($100-$200+) for traveling to clients’ homes or offices
  • Product sales: Selling massage oils, lotions, or wellness products to clients
  • Teaching: Experienced therapists can earn additional income teaching at massage schools ($30-$60/hour)
  • Corporate events: Chair massage at corporate wellness events, health fairs, and conferences ($50-$100/hour)
  • Weekend and evening premiums: Some employers offer higher rates for off-peak scheduling

Job Outlook (2022-2032)

  • Growth rate: 18% (much faster than average)
  • Current employment: 178,400 nationwide
  • Projected employment: 210,512 by 2032
  • Annual job openings: 24,000

Strong demand is driven by:

  • Growing recognition of massage therapy as a legitimate healthcare treatment, not just a luxury service
  • Increasing integration of massage into medical settings, including hospitals, rehabilitation centers, and pain management clinics
  • Aging population seeking non-pharmaceutical approaches to pain management and mobility improvement
  • Expanding insurance coverage for massage therapy in some states and health plans, making it accessible to more patients
  • Rising consumer interest in wellness, self-care, and stress management across all demographics
  • Sports and fitness industries increasingly incorporating massage into training, recovery, and injury prevention programs
  • Growing demand for complementary and alternative medicine approaches alongside conventional healthcare
  • Workforce turnover creating consistent openings as some therapists transition to other careers or reduce their hours due to physical demands
  • Corporate wellness programs expanding to include on-site massage as an employee benefit
  • Veterans Affairs and military healthcare systems increasingly offering massage therapy for pain management and PTSD-related symptoms

Career Advancement

Typical progression:

Entry-Level Therapist (Spa/Clinic Employee) -> Experienced Therapist -> Specialist/Senior Therapist -> Practice Owner/Educator/Manager

LevelTimelineKey Benefits
Entry-Level Therapist0-2 yearsBuilding skills, client base, and professional reputation
Experienced Therapist2-5 yearsHigher pay, specialization options, stronger client retention
Specialist/Senior Therapist5-8 yearsPremium rates, referral network, teaching opportunities
Practice Owner/Educator8+ yearsFull control of schedule and income, mentoring others

Valuable Specializations

  • Medical massage - Working in clinical settings with physician referrals for injury rehabilitation, chronic pain management, and post-surgical recovery. Medical massage therapists often collaborate with physical therapists, orthopedists, and pain management specialists.
  • Sports massage - Training with athletes, sports teams, and at athletic events and competitions. Sports massage therapists may travel with professional teams or work at training facilities and competitions.
  • Prenatal/perinatal massage - Specialized work with pregnant women requiring modified techniques, positioning, and knowledge of pregnancy-related contraindications. Demand is consistent and growing as more obstetricians recommend massage during pregnancy.
  • Oncology massage - Providing comfort and pain relief to cancer patients with specialized, gentle techniques adapted for the unique needs of patients undergoing chemotherapy, radiation, or recovering from cancer surgery.
  • Lymphatic drainage - Manual techniques to support the lymphatic system, often used post-surgery, for lymphedema management, or as part of immune system support. Requires specialized certification.
  • Geriatric massage - Adapted techniques for elderly clients with age-related conditions including arthritis, osteoporosis, and reduced mobility. Growing demand as the population ages.
  • Craniosacral therapy - Subtle, gentle bodywork focused on the central nervous system. Practitioners use light touch to evaluate and enhance the functioning of the craniosacral system, which includes the membranes and fluid surrounding the brain and spinal cord.
  • Reflexology - Specialized pressure techniques applied to specific points on the feet, hands, and ears that correspond to different organs and body systems. Often offered as a standalone service or complement to full-body massage.

Certifications that increase pay

  • Board Certification in Therapeutic Massage and Bodywork (BCTMB) - National certification from NCBTMB demonstrating advanced competency
  • Medical Massage Certification - Qualifies you for clinical settings and physician referral networks
  • Sports Massage Certification - Credentials from AMTA or other organizations for athletic massage
  • Neuromuscular Therapy (NMT) Certification - Advanced clinical technique for chronic pain
  • Myofascial Release Certification - John F. Barnes approach or similar advanced training
  • Oncology Massage Certification - Specialized training from the Society for Oncology Massage (S4OM)
  • Prenatal Massage Certification - Required by some employers for working with pregnant clients

Pros and Challenges

Advantages

  • Excellent job growth - 18% growth rate is much faster than the average for all occupations
  • Flexible schedule - Many therapists set their own hours, especially in private practice
  • Meaningful work - Directly helping people manage pain, recover from injuries, and reduce stress
  • Multiple work environments - Spas, clinics, hospitals, sports teams, corporate settings, or your own practice
  • Low startup costs - Starting a private practice requires relatively modest investment compared to other healthcare careers
  • No four-year degree required - Enter the workforce in as little as 6-12 months of training
  • Growing acceptance - Increasing recognition of massage as a legitimate healthcare modality opens new professional opportunities
  • Self-employment potential - Build a private practice and control your own income and schedule
  • Recession-resistant demand - Healthcare and wellness services maintain demand across economic cycles

Challenges

  • Physical demands - Sustained hand and arm pressure can lead to repetitive strain injuries if body mechanics are poor
  • Limited hands-on hours - Most therapists can sustain only 15-25 hands-on client hours per week, which caps earning potential as an employee
  • Income variability - Tips, seasonal demand, and client cancellations can create income fluctuations
  • Building a client base - New therapists often face slow periods before establishing a reliable clientele
  • Emotional labor - Working closely with people in pain or stress requires emotional resilience and strong boundaries
  • Licensing complexity - Requirements vary by state, and license portability can be challenging when relocating
  • Misconceptions about the profession - Some people do not understand the distinction between therapeutic massage and non-therapeutic services, requiring ongoing professional boundary management
  • Self-employment responsibilities - Private practice therapists must handle marketing, scheduling, billing, insurance, and taxes

Frequently asked questions

How long does it take to become a massage therapist?

Most massage therapy programs take 6 months to 2 years, depending on your state’s hour requirements and whether you attend full-time or part-time. States that require 500 hours of training can be completed in as little as 5-6 months of full-time study. States requiring 1,000+ hours may take 12-18 months full-time or up to 2 years part-time. After completing training, allow additional time for MBLEX preparation, exam scheduling, and license application processing.

How much does it cost to become a massage therapist?

Training costs range from $3,000 to $20,000 depending on the program type and location. Community college programs tend to be on the lower end ($3,000-$10,000), while private massage schools range from $5,000-$20,000. Add approximately $500-$1,500 for exam fees, licensing, supplies, and liability insurance. Total investment typically ranges from $4,000 to $22,000.

What is the MBLEX and how hard is it?

The Massage and Bodywork Licensing Examination (MBLEX) is a 100-question, computer-adaptive exam administered by the Federation of State Massage Therapy Boards (FSMTB). It covers anatomy, physiology, kinesiology, pathology, massage techniques, ethics, and business practices. The pass rate is approximately 70% on the first attempt. Students who complete their training program thoroughly and use MBLEX-specific study materials generally perform well. The exam costs $195 per attempt.

Can I become a massage therapist without going to school?

In most states, no. Nearly all states that regulate massage therapy require completion of an approved training program with a specific number of hours (ranging from 500 to 1,000+). A few states have alternative pathways such as apprenticeship models, but these are rare. Formal training provides essential knowledge in anatomy, pathology, contraindications, and ethics that protects both you and your clients.

Do massage therapists make good money?

The median massage therapist salary is $49,860, with experienced therapists and specialists earning $60,000-$75,000+. Private practice owners who build a strong client base can earn $80,000-$120,000+. Tips at spas and private practices can add $5,000-$15,000 annually. However, income depends heavily on your work setting, hours worked, geographic location, and specialization.

Is massage therapy a good career?

Massage therapy offers a compelling combination of strong job growth (18%), flexible scheduling, meaningful work, and relatively low training costs. It is a good fit for people who enjoy hands-on healing, want direct interaction with clients, and value schedule flexibility. The main considerations are the physical demands and the practical ceiling on hands-on hours, which means building higher income often requires specialization, private practice, or supplementing with related services.

How many hours a week do massage therapists work?

Most massage therapists work 15-25 hands-on client hours per week to prevent physical burnout and repetitive strain injuries. Total work hours are typically higher when you include administrative tasks, marketing, continuing education, and client communication. Full-time employed therapists generally work 30-40 total hours per week, while self-employed therapists manage their own schedules.

Do I need to be strong to be a massage therapist?

You do not need exceptional strength. Effective massage therapy relies more on proper body mechanics - using your body weight, leverage, and positioning - than on raw hand or arm strength. Training programs teach you how to use your legs, core, and body weight to deliver deep, effective pressure without straining your hands and arms. That said, you should be physically capable of standing for extended periods and performing repetitive motions throughout the day.

Can I practice massage therapy in a different state?

License portability varies. Most states require their own license, even if you are already licensed elsewhere. However, many states accept the MBLEX exam score, so you typically do not need to retake the exam. You may need to meet additional training hour requirements if your original state required fewer hours than the new state. Some states participate in interstate compacts or have reciprocity agreements that simplify the process.

Is there an age limit for becoming a massage therapist?

No. Many people enter massage therapy as a second or third career in their 30s, 40s, 50s, and beyond. Massage therapy schools welcome students of all ages. The main consideration is physical ability to sustain the demands of the work. Good body mechanics and proper self-care allow therapists to practice well into their later years.

What is the difference between a licensed massage therapist and a certified massage therapist?

The distinction depends on state terminology. Some states issue a “license” (LMT - Licensed Massage Therapist) while others issue a “certification” (CMT - Certified Massage Therapist). Both serve the same purpose: legal authorization to practice massage therapy. Separately, national certification through the NCBTMB (Board Certification in Therapeutic Massage and Bodywork) is a voluntary, advanced credential that demonstrates a higher level of competency and is recognized across states.

Can massage therapists specialize in medical settings?

Yes. Medical massage therapy is one of the fastest-growing specializations. Massage therapists work in hospitals, rehabilitation centers, pain management clinics, and alongside physicians and physical therapists. Specializing in medical massage typically requires additional training in clinical assessment, pathology, and treatment documentation. Medical massage therapists often earn higher rates and benefit from physician referrals.


Massage Therapist Salary by State

Massage Therapy Salary by State

StateMedian annualTop 10% annual
Alaska$135,200$167,550
Hawaii$80,590$161,410
Vermont$105,490$124,490
Mississippi$42,510$123,060
Virginia$56,850$120,590
Maine$67,420$116,210
Washington$82,820$115,920
District of Columbia$62,220$110,290
Delaware$53,920$108,090
Massachusetts$59,470$104,370
New York$58,730$104,060
Utah$61,010$103,990
Oregon$82,860$103,150
California$48,430$101,390
Colorado$59,560$100,770
Maryland$58,390$100,260
South Carolina$62,830$98,550
Missouri$66,870$98,540
Oklahoma$48,140$97,640
Illinois$60,640$97,360
New Hampshire$62,830$96,860
New Jersey$56,760$96,650
Minnesota$75,500$95,840
North Carolina$61,670$92,400
Wisconsin$57,530$92,220
Iowa$62,400$91,350
Pennsylvania$57,660$91,140
Arizona$59,550$90,640
Alabama$48,960$89,750
Kentucky$54,890$89,700
North Dakota$70,720$89,390
Connecticut$59,270$89,380
New Mexico$47,660$89,120
Nevada$52,000$88,760
Montana$52,000$87,870
Idaho$70,470$85,630
Texas$56,540$85,160
Michigan$54,510$85,070
Georgia$56,740$83,760
Nebraska$55,080$82,460
Louisiana$58,010$80,340
Indiana$52,740$79,580
Florida$49,880$74,490
Wyoming$32,430$74,350
West Virginia$42,730$71,740
Kansas$47,940$68,060
Ohio$50,430$65,820
Arkansas$31,280$63,430
Tennessee$49,670$61,150
South Dakota$40,780$57,650

Top-earning massage therapists work in medical settings, build private practices in high-demand markets, and specialize in clinical modalities like sports massage, craniosacral therapy, and neuromuscular therapy.


Certification and training resources

National resources:

  • FSMTB (Federation of State Massage Therapy Boards): fsmtb.org - MBLEX exam information and state licensing requirements
  • NCBTMB (National Certification Board for Therapeutic Massage & Bodywork): ncbtmb.org - National certification and continuing education approval
  • Bureau of Labor Statistics: bls.gov/ooh/healthcare/massage-therapists.htm - Salary data and job outlook
  • COMTA (Commission on Massage Therapy Accreditation): comta.org - Find accredited massage therapy programs

Professional associations:

  • AMTA (American Massage Therapy Association): amtamassage.org - Largest professional association for massage therapists, offering insurance, advocacy, and continuing education
  • ABMP (Associated Bodywork & Massage Professionals): abmp.com - Membership organization providing liability insurance, education, and business support

How to get started today

  1. Check your state’s requirements - Visit your state massage therapy board’s website to confirm the minimum training hours, exam requirements, and licensing process
  2. Research local programs - Search for COMTA-accredited massage therapy schools and community college programs in your area
  3. Visit schools - Attend open houses, tour facilities, and ask about clinical practicum opportunities, MBLEX pass rates, and job placement support
  4. Explore financial aid - Complete the FAFSA for federal aid eligibility and ask schools about payment plans and scholarships
  5. Get a professional massage - If you have not already, experience massage therapy as a client to confirm your interest in the profession
  6. Connect with working therapists - Reach out to licensed massage therapists in your area to ask about their experience and advice for new students
  7. Apply to programs - Submit applications to multiple schools to maximize your options for scheduling, cost, and program quality

Start your massage therapy training today

Ready to begin your career as a massage therapist? Most programs can have you licensed and working in 6-12 months. Explore accredited massage therapy programs in your area: