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Massage Therapy Establishment Licensing: State-by-State Analysis

Massage Therapy Establishment Licensing: State-by-State Analysis

• Updated July 2026 • Verification of each state is a work in progress • Laws subject to change — verify with state board

How to use this guide

Each state entry answers five key questions to help you evaluate whether an establishment licensing law is actually doing what it claims to do. The questions are:

  1. What does the law actually require? (statutory requirements)
  2. Who bears the burden? (who is regulated, and who is exempt)
  3. What do the penalties look like? (civil fines, criminal charges, license revocation)
  4. What has changed since the law passed? (outcome data, enforcement history)
  5. What do LMTs in that state say? (primary research gap — this data does not yet exist)

Items flagged [VERIFY] need confirmation from the state board or official source before publication. Items flagged [PRIMARY RESEARCH NEEDED] represent original research opportunities.

⚠ This guide is for educational and advocacy purposes only. Laws change. Always verify current statutory language with the official state board or licensed attorney before citing in print.
Filter:
Strong — full licensure with enforcement teeth
Moderate — registration or partial requirements
Limited — local/opt-in or standards only
Unknown/bill only
Showing 23 of 23 states

Source data: state statutes, administrative codes, and board rules as cited under each state entry. Compiled for the Massage Therapist’s Toolkit, 2nd Edition by Julie Onofrio, LMT. Not legal advice.

For the most current list of states with establishment licensing laws, visit lookbeforeyoubookamassage.com/massage-establishment-licensing-in-the-us

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