State-by-State Information

Designation: LMT – Licensed Massage Therapist
Board: Dept. of Health & Human Services Massage Therapy

Email: DHHS.Licensure2117@nebraska.gov
Fees: Massage Therapist $110, Renewal $110 every 2 years, Temporary MT $25, Licenses expire on November 1 of Odd Years
Liability Insurance: Not Required

Establishment License: Required, $127 (Mobile Establishment Included)
Entry Level Education Requirements: 1000 hours, $150 for School License
Continuing Education Requirements: 16 hours every 2 years, 8 may be online
Testing Requirements: MBLEx, Jurisprudence Exam
Other Licensure Requirements: Background check
Classification: Personal Services
Insurance Billing: No - Workers Comp & Car accidents only if massage performed by Chiropractor
Draping Regulation: A massage therapist must maintain appropriate draping for each client to ensure the comfort level of both the therapist and client.
Nebraska AMTA Chapter
Massage Magazine Nebraska Massage Therapy Requirements
Salary Data: $48,805
Number of Practitioners: 1,271

*Messaged State Board to Verify Information 7/29/2022

Designation: LMT – Licensed Massage Therapist
Board: Nevada State Board of Massage Therapy

Email:  nvmassagebd@state.nv.us
Fees: $480 total (app, license, background check), Renewal $295 per year 

Liability Insurance: Not required
Entry Level Education Requirements: 550 hours, No Online or Distance Education is accepted for Core Curriculum
Continuing Education Requirements:24 hours every 2 years (12 per year)
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check, Fingerprints, Photo
Classification: Unknown
Insurance Billing: Unknown
Draping Regulation: Client must remain draped at all times. Breast massage requires signed written consent, no touching of the nipples or areola allowed. Forms are provided by the Board.
Nevada AMTA Chapter
Massage Magazine Nevada Massage Therapy Requirements
Salary Average: $54,270
Number of Practitioners: Unknown

*Emailed state board 7/29/2022 to Verify Information

Designation: LMT – Licensed Massage Therapist
Board: Office of Professional Licensure & Certification Board of Massage Therapists

Email:  CustomerSupport@oplc.nh.gov
Fees: $125 Initial, Renewal $100 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements:750 hours
Continuing Education Requirements:12 every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: CPR, First Aid, Photo, License for techniques
Classification: Personal Services
Insurance Billing: Worker’s Comp - According to NHDOL, NH State does not approve or disapprove providers, including massage therapists, for Worker’s Comp.  NHDOL leaves it up to individual insurance companies.
Draping Regulation: No specific draping regulation. Informed client consent required for breast massage, and must be a necessary, therapeutic aspect of the massage.
New Hampshire AMTA Chapter
Massage Magazine New Hampshire Massage Therapy Requirements
Salary Average: $54,021
Number of Practitioners: 1,849

*Emailed 7/29/2022 to Verify Information Above

Designation: LMT – Licensed Massage Therapist
Board: Division of Consumer Affairs - Board of Massage & Bodywork Therapy
Fees: Initial $195, $78 background check, Renewal $120 every 2 years
Liability Insurance: Required prior to license
Entry Level Education Requirements:500 hours
Continuing Education Requirements:20 hours every 2 years
Testing Requirements: MBLEx, NCBTMB, or NCCAOM
Other Licensure Requirements: Background check, CPR, First aid, AED
Classification: Personal Services
Insurance Billing: Worker’s Com (Unknown), Care Accidents (Unknown), Healthcare Plans - Cigna, Aetna, American Specialty Network
Draping Regulation: Drapes must be used for each client. Therapists shall provide privacy and therapy conditions which prevent the exposure of the unclothed body of the client. Appropriate draping measures shall be employed to protect client privacy.
New Jersey AMTA Chapter
Massage Magazine New Jersey Massage Therapy Requirements
Salary Average: $58,843
Number of Practitioners: 761

Designation: LMT – Licensed Massage Therapist
Board: New Mexico Regulation & Licensing Dept. Board of Massage Therapy
Fees: $75 Initial,  Renewal $125 every 2 Years
Liability Insurance: Not required
Entry Level Education Requirements:650 hours
Continuing Education Requirements:16 hours every 2 years
Testing Requirements: MBLEx or NCBTMB, Jurisprudence Exam
Other Licensure Requirements: First aid, CPR, Photo
Classification: Healthcare Provider
Insurance Billing: Worker’s comp (MED pay only), Car accidents
Draping Regulation: Informed consent must be obtained from the client regarding draping and treatment to ensure the safety, comfort, and privacy of the client. Privacy must be provided for the client when dressing and disrobing.
New Mexico AMTA Chapter
Massage Magazine New Mexico Massage Therapy Requirements
Salary Average: $48,645
Number of Practitioners: 3,404

Designation: LMT – Licensed Massage Therapist
Board: New York Office of the Professions - Massage Therapy
Fees: $108 Initial, Renewal $55 every 3 years
Liability Insurance: Not Required
Entry Level Education Requirements:1000 hours
Continuing Education Requirements:36 hours every 3 years
Testing Requirements: NY State exam
Other Licensure Requirements: CPR
Classification: Healthcare Providers
Insurance Billing: No Worker’s Comp, Yes Car accidents (fees based on state worker’s comp fees) See No fault insurance billing rules. Healthcare plans unknown.
Draping Regulation: Clients must be properly draped to protect modesty, privacy, warmth, and comfort of client. Informed consent required for breast massage.
New York AMTA Chapter
Massage Magazine New York Massage Therapy Requirements
Salary Average: $64,027
Number of Practitioners: 15,297

Designation: LMBT – Licensed Massage & Bodywork Therapist
Board: North Carolina Board of Massage & Bodywork Therapy
Fees: $20 App, Initial $190, Renewal $100 every two years
Liability Insurance: Not required
Entry Level Education Requirements:500 hours

Continuing Education Requirements: The first year you need 12 credits, 24 every 2 years
Testing Requirements: MBLEx, NCBTMB, or NCCAOM
Other Licensure Requirements: Background check, Photo, Fingerprints
Classification: Healthcare Provider
Insurance Billing: Unknown
Draping Regulation: Provide draping in a manner that ensures the safety, comfort and privacy of the client. Draping not required when client is fully clothed. Gluteal cleft, genital areas and female breast must always be draped. Voluntary, informed consent required for undraped breast massage or structures in the gluteal cleft area.
North Carolina AMTA Chapter
Massage Magazine North Carolina Massage Therapy Requirements
Salary Average: $50,774
Number of Practitioners: 6,181

Designation: LMT – Licensed Massage Therapist
Board: North Dakota Board of Massage Therapy
Fees: $150 Initial, Renewal $100 per year
Liability Insurance: Not Required
Entry Level Education Requirements:750 Hours
Continuing Education Requirements:0–14 years practicing = 24 hours every 2 years, 15–24 years practicing = 6 hours every 2 years,  24+ years practicing = 3 hours every 2 years
Testing Requirements: MBLEx or NCBTMB, Jurisprudence exam
Other Licensure Requirements: Physical exam, No contagious disease, CPR, Background check, Fingerprints, Photo
Classification: Unknown
Insurance Billing: Unknown
Draping Regulation: Draping must be provided in a way that ensures the safety, comfort, and privacy of the client.
North Dakota AMTA Chapter
Massage Magazine North Dakota Massage Therapy Requirements
Salary Average: $49,976
Number of Practitioners: 726 

Designation: LMT – Licensed Massage Therapist
Board: State Medical Board of Ohio Massage Therapy Division
Fees:  Initial $150, $25 Vendor license required, Renewal $50 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements:750 hours
Continuing Education Requirements: None
Testing Requirements: MBLEx
Other Licensure Requirements: Background check
Classification: Healthcare Provider
Insurance Billing: Worker’s Comp, Car accidents – Yes. No prescription required by law, although more insurance companies are requiring it for payment. Law does not allow doctor to dictate sessions by prescribing number of sessions or limited diagnosis because they have no idea what muscles have been affected or what it takes to heal. Must be BWC certified. Healthcare plans - No payments to therapists. Payments directed to chiropractors and physical therapists billing for massage therapy.
Draping Regulation: Disrobing and draping practices must respect the client’s privacy. Must have informed consent for breast massage.
Ohio AMTA Chapter
Massage Magazine Ohio Massage Therapy Requirements
Salary Average: $51,966
Number of Practitioners: 11,043

Designation: LMT – Licensed Massage Therapist
Board: Oklahoma State Board of Cosmetology & Barbering
Fees: $25 Initial, Renewal $50 every 2 years
Liability Insurance: Required prior to license
Entry Level Education Requirements: 500 hours
Continuing Education Requirements: 5 hours every year or 10 hours every 2 years
Testing Requirements: MBLEx
Other Licensure Requirements: Background check
Classification: Unknown
Insurance Billing: Unknown
Draping Regulation: Unknown
Oklahoma AMTA Chapter
Massage Magazine Oklahoma Massage Therapy Requirements
Salary Average: $50,029
Number of Practitioners: Unknown

Designation: LMT – Licensed Massage Therapist
Board: Oregon State Board of Massage Therapists

Fees: $240 Initial, Renewal $155 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements:625 hours
Continuing Education Requirements:25 hours every 2 years – 1 hour pain management, 1 hour cultural competency
Testing Requirements: MBLEx or NCBTMB, Jurisprudence exam
Other Licensure Requirements: CPR, Background check, Photo, 3 references, Fingerprints
Classification: Healthcare Providers
Insurance Billing: Worker’s Comp- See Providers Info, Car accidents, Healthcare Plans Yes.
Draping Regulation: Safe and functional draping required when client is disrobed. Evidence of specialized training, prescription, or consultation with client’s physician, written and verbal consent is required for breast massage. Client must be given the option have a witness. Appropriate draping must always be used. Any temporary exposure of the breast area is acceptable only in respect to appropriate procedure for that treatment.
Oregon AMTA Chapter
Massage Magazine Oregon Massage Therapy Requirements
Salary Average: $53,009
Number of Practitioners: 6392

Designation: LMT – Licensed Massage Therapist
Board: Pennsylvania State Board of Massage Therapy
Fees: Application $65, Letter of Good Standing $15, Renewal $75 every 2 Years
Liability Insurance: Not required
Entry Level Education Requirements:600 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check, CPR Classification: Unknown
Insurance Billing: Unknown
Draping Regulation: Written consent required prior to performing breast massage. Safe and functional draping required when client is disrobed. No exposure of gluteal cleft, genitals, or female breasts. With voluntary and informed consent of the client, the gluteal and breast drapes may be temporarily moved to perform treatment of the area.
Pennsylvania AMTA Chapter
Massage Magazine Pennsylvania Massage Therapy Requirements 

Salary Average: $53,116
Number of Practitioners: Unknown

Designation: LMT – Licensed Massage Therapist
Board: Rhode Island Dept. of Health Massage Therapy
Fees: $65.00 Application, $37.50 per year
Liability Insurance: Not required
Entry Level Education Requirements:650 hours
Continuing Education Requirements: 6 hours every year
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check, CPR 

Classification: Healthcare Provider
Insurance Billing: Unknown
Draping Regulation: Practitioners must meet the ethical standards of either a professional organization or credentialing agency. No specific state draping rules.
Rhode Island AMTA Chapter
Massage Magazine Rhode Island Massage Therapy Requirements
Salary Average: $56,096
Number of Practitioners: 1,608

Designation: LMT – Licensed Massage Therapist
Board: Labor Licensing Regulation Massage / Bodywork Panel
Fees:  Initial $150, Renewal $175 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements:500 hours
Continuing Education Requirements:12 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Photo
Classification: Personal Services
Insurance Billing: No
Draping Regulation: Draping shall be provided in a way that ensures the client’s safety, comfort, and privacy. Gluteal area, genitals, and female breasts must be draped. Written consent or physician referral is required for breast massage. When medical reasons are involved, physician referral is required. Draping may be adjusted to perform therapeutic treatment to gluteal structures and breast tissue.
South Carolina AMTA Chapter
Massage Magazine South Carolina Massage Therapy Requirements
Salary Average: $49,816
Number of Practitioners: 3216

Designation: LMT – Licensed Massage Therapist
Board: South Dakota Board of Massage Therapy
Fees: $120 Initial, Renewal $65 per year
Liability Insurance: Required prior to license
Entry Level Education Requirements:500 hours
Continuing Education Requirements:8 hours every 2 years (2 hours CPR each renewal cycle)
Testing Requirements: MBLEx or NCBTMB, Jurisprudence exam
Other Licensure Requirements: AED, CPR, First aid
Classification: Unknown
Insurance Billing: Unknown
Draping Regulation: No specific draping rules.
South Dakota AMTA Chapter
Massage Magazine South Dakota Massage Therapy Requirements
Salary Average: $45,558
Number of Practitioners: 730

Designation: LMT – Licensed Massage Therapist
Board: Tennessee Dept. of Health Board of Massage Licensure
Fees: $280 Initial, Renewal $195 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements:500 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background Check
Classification: Healthcare Provider
Insurance Billing: Unknown
Draping Regulation: Draping technique must be explained to client prior to massage. Buttocks and female breasts must remain covered except during therapeutic treatment. Voluntary informed written consent required for breast massage. Cross-gender breast massage is never allowed. Genitalia must always be covered.
Tennessee AMTA Chapter
Massage Magazine Tennessee Massage Therapy Requirements
Salary Average: $48,353
Number of Practitioners: 4,311

Designation: LMT – Licensed Massage Therapist
Board: Texas Dept. of Licensing & Regulation Massage Therapy Advisory Board
Fees: Application fee $117, Examination fee $87, Renewal $106 every 2 years
Liability Insurance: Not required
Entry Level Education Requirements: 500 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check
Classification: Personal Services
Insurance Billing: No
Draping Regulation: Draping must be used during the session unless otherwise agreed to by both the client and massage therapist. Written consent is required for breast massage. Clients have the right to end the massage at any time if uncomfortable. Consent must be obtained in consultation document.
Texas AMTA Chapter
Massage Magazine Texas Massage Therapy Requirements
Salary Average: $37,230
Number of Practitioners: 26,347

Designation: LMT – Licensed Massage Therapist
Board: Dept. of Commerce, Div. of Occupational Licensing - Massage Therapy
Fees:  Massage Therapist - $100, Massage Apprentice - $75, Renewal $52 every 2 years, Temporary license available
Liability Insurance: Not Required
Entry Level Education Requirements:600 hours
Continuing Education Requirements: None
Testing Requirements: MBLEx OR NCBTMB
Other Licensure Requirements: Background check, Fingerprints 

Classification: Personal Services
Insurance Billing: Unknown
Draping Regulation: Draping must protect the client’s personal privacy. Written consent and client request is required for breast massage.
Utah AMTA Chapter
Massage Magazine Utah Massage Therapy Requirements
Salary Average: $50,424
Number of Practitioners: 5,509

Unlicensed: State registration required
Board: Office of Professional Licensing: Massage Therapists, Bodyworkers & Touch Professionals
AMTA Vermont Chapter

Designation: LMT – Licensed Massage Therapist
Board: Virginia Dept. of Health Professions, Board of Nursing - Massage Therapists
Fees: $140 Initial, Renewal $95 every 2 years
Liability Insurance: Not Required
Entry Level Education Requirements:600 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check
Classification: HealthCare Providers
Insurance Billing: Unknown
Draping Regulation: Areas that should be draped and not touched unless medically indicated for a condition referred by a physician, nurse practitioner or physician assistant and with the written informed consent of the client include:  Genitalia, nipples, and areola.
Virginia AMTA Chapter
Massage Magazine Virginia Massage Therapy Requirements
Salary Average: $52,903
Number of Practitioners: 5,141

Designation: LMP – Licensed Massage Practitioner
Board: Washington State Dept. of Health - Massage Therapists
Fees: $141 Initial, Renewal $106 per year
Liability Insurance: Not Required
Entry Level Education Requirements:500 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB, Jurisprudence Exam
Other Licensure Requirements: HIV/AIDS training, CPR, First aid, Background check
Classification: Healthcare Provider - See RCW 48.43.005
Insurance Billing: Worker’s Comp – See Medical Providers, Car accidents, Healthcare Plans - Yes.  See Every Category Law. WAC 284-170-270
Draping Regulation: Safe, functional, hygienic coverage and draping practices that comply with WAC 246-830-500 during the practice of massage when the client or patient is disrobed. Genitalia, gluteal cleft, and breast must be covered. Prior signed or initialed written and verbal consent from client or patient is required to temporarily move drape from gluteal cleft structures and breasts to perform therapeutic treatment. With informed and written consent, a client or patient may choose to have their upper torso undraped during the entire massage. Therapists must have evidence of education in specific modalities that require variations in draping, receive voluntary and informed consent from client or patient, and document in the client or patient’s record the reason for any variation of draping. Client must be provided the option to have a witness present during breast massage, and that witness must be provided by the client or patient. Therapist must have at least sixteen hours of specialized in-person education and training in breast massage. Any massage that includes the nipple or areola must have a written prescription or referral from a licensed medical healthcare provider or prior signed or initialed written and verbal informed consent.
Washington AMTA Chapter
Massage Magazine Washington Massage Therapy Requirements
Salary Average: $56,841
Number of Practitioners: 11,621 

Designation: LMT – Licensed Massage Therapist
Board: West Virginia Massage Therapy Licensure Board
Fees: $300 Initial, Renewal $200 every 2 years
Liability Insurance: Not Required
Entry Level Education Requirements:500 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: None
Classification: Healthcare Providers
Insurance Billing: Unknown
Draping Regulation: Draping techniques must be explained to client prior to massage. Drape must cover body in accordance with generally accepted standards of practice. Written voluntary informed consent required for breast massage. Breast massage may only be performed as indicated in a plan of care. Failure to comply constitutes grounds for revocation of license.
West Virginia AMTA Chapter
Massage Magazine West Virginia Massage Therapy Requirements
Salary Average: $47,155
Number of Practitioners: 1,147

Designation: LMT – Licensed Massage Therapist
Board: Wisconsin Dept. of Safety & Professional Services - Massage & Bodywork Therapists
Fees: Initial $150, $53 every 2 years
Liability Insurance: Required prior to license
Entry Level Education Requirements:600 hours
Continuing Education Requirements:24 hours every 2 years
Testing Requirements: MBLEx, NCBTMB or NCCAOM, Jurisprudence Exam
Other Licensure Requirements: AED, CPR, First aid
Classification: Healthcare Provider. See 146.81  Health care records; definitions
Insurance Billing: Unknown
Draping Regulation: Draping must be provided in a way that ensures the safety and privacy of the client.
Wisconsin AMTA Chapter
Massage Magazine Wisconsin Massage Therapy Requirements
Salary Average: $52,424
Number of Practitioners: 4,176

Unlicensed: Local requirements
Wyoming AMTA Chapter
Draping: Cheyenne regulates massage, as well as other localities. Draping must be provided to the client and breast massage is prohibited. A trained therapist may submit a request to the mayor and city council to allow female breast massage. 

Designation: LMT – Licensed Massage Therapist
Board: D.C. Health Massage Therapy Licensing
Fees: Initial $262, Renewal $177 every 2 years
Liability Insurance: Not Required
Entry Level Education Requirements: 500 hours
Continuing Education Requirements:14 hours every two years
Testing Requirements: MBLEx or NCBTMB
Other Licensure Requirements: Background check, CPR, First aid
Classification: Healthcare Provider – See RCW 48.43.005
Insurance Billing: Unknown
Draping Regulation: Appropriate draping must be used to protect the client’s physical and emotional privacy.
Washington, D.C. AMTA Chapter
Massage Magazine Washington DC Massage Therapy Requirements
Salary Average: $59,247
Number of Practitioners: 638

Puerto Board of Examiners of Massage Therapists Statutes

Junta Examinadora de Terapeutas de Masaje de Puerto Rico 

U.S. Virgin Islands Dept. of Health

Dept. of Licensing & Consumer Affairs

Australia Association of Massage Therapists 

Costa Rica School of Massage Therapy

Canada Massage Regulations

The International Massage Association & World Championship of Massage

Massage Magazine State Requirements Articles

ABMP Practitioners State Requirements State Board Sites

ABMP Massage State Regulation Guide State Requirements, CE Requirements

Lomi Lomi Chest & Breast Massage Legality (And Draping) Draping Laws

Massage Practice Builder Massage Insurance Billing Resources Status & Insurance Billing

Massage Exam Fees & Number of Providers

Google Search Results: Massage Establishment Licensing requirements*

*Note: In states where Liability Insurance is not required, it is always recommended to protect you and your practice.

 If you notice an error in any of the above information, please report to bethechange@usolmt.com with State Information in subject line. Thank you!