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How to become a licensed massage therapist

Massage therapy combines a passion for healing with an active, hands-on approach. Licensed massage therapists work in many settings, from doctor's offices and chiropractic clinics to hotels and spas. Discover how to become a licensed massage therapist and what to expect from this career.

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What does a licensed massage therapist do?

Licensed massage therapists provide hands-on manipulation of the body's soft tissues and joints. Some specialize in specific patient populations, such as:

  • Nursing home residents
  • Athletes
  • People with arthritis or other chronic pain conditions

Other licensed massage therapists work with the general public in locations such as:

  • Cruise ships
  • Offices or other workplaces
  • Airports

According to the Bureau of Labor Statistics (BLS), licensed massage therapists earn a median annual salary of $55,310 as of May 2023.

Steps to become a licensed massage therapist

Becoming a licensed massage therapist can be highly rewarding, but it all starts with earning your license. Each step can bring you closer to your dream position.

Step 1: Attend massage school

Depending on where you live, you may be able to complete a massage therapy program at a local community college or a standalone massage school. Either way, the program typically lasts six to eight months.

Be sure that whichever program you choose is licensed and accredited and will prepare you for licensure in your state.

Step 2: Pass the MBLEx

The Massage and Bodywork Licensing Examination (MBLEx) is a 100-question multiple-choice test administered by the Federation of State Massage Therapy Boards (FSMTB). It covers a variety of topics, from basic anatomy to ethics to professional practice.

Note that all applicants for the exam must show proof of completion of a massage therapy program.

Step 3: Apply for state licensure

Every state sets its own requirements for licensure as a massage therapist. In general, you need to submit your diploma or certificate from your massage therapy program along with your MBLEx results. Check with your state board for additional requirements.

Step 4: Take continuing education courses

Continuing education courses may or may not be required by your state. However, massage therapy is a constantly evolving field, so these courses can be an excellent way to remain up to date.

You can find courses through the FSMTB's Regulatory Education and Competence Hub.

Step 5: Consider an advanced healthcare degree

If you want to take your massage therapy career to the next level, consider an online master's degree in healthcare. This optional degree could allow you to move into an administrative position or to switch from massage therapy to physical therapy.

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