Massage Therapist Licensing

States Licensed


of 50 states and D.C.


Burden Rank


for average burdens 1st is worst


Combined Rank


for states licensed x average burdens 1st is worst

Change from 2017 to 2022, if any:
Burden increased
Burden decreased
Mixed burden change
New license
Eliminated license
2022 Licensing Burden Rank
Lower Burden Rank
Higher Burden Rank
No state license

How does my state compare to others?

Compare Now


Massage therapists perform therapeutic massages of soft tissue and joints. They may also assist in the assessment of range of motion and muscle strength or propose client therapy plans.

2022 Snapshot

  • 6 unlicensed states
  • Days lost range from 0 (Maine, Vermont) to 560 (Maryland)
  • Fees range from $75 (Vermont) to $745 (Alaska, Maryland)
  • 42 states require 1+ exam
  • 36 states set minimum age
  • 19 states set minimum grade

Changes Since 2017

  • 1 license created by Vermont; none removed
  • Fees changed most often and changes were almost evenly split between increases and decreases; 5 states increased days lost to education and experience, while Arizona decreased it
  • Burden rank and combined rank stayed the same despite fee and education and experience reductions, largely because of a new license and burden changes in similarly ranked occupations

2022 Licensing Burden in Detail

N New License
E Eliminated License

Data Notes: 2022 data collected between February 3, 2020, and March 18, 2022. Fees include charges for application review and license issuance; exams; background checks, credit reports and fingerprinting; recovery fund contributions; third-party certification; and certain fees for training courses. Calendar days lost were estimated based on required education and experience; except for amounts smaller than one day, days lost are rounded to whole days and thus may not reflect very small changes between 2017 and 2022. Appendix A details methods for estimating days lost and calculating burden ranks. Complete data, including revised 2017 data, are available at

Additional Resources