Maine Massage Therapy — Requirements & Free Practice
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Massage Therapist
Individual massage therapist license under 32 M.R.S. Chapter 127. The chapter repeals the former certification, registration and reciprocity provisions; the current license has examination, approved-training and endorsement pathways. Chapter 127 and the current massage rule chapters do not establish a separate Maine massage examination.
Licensing authority: Maine Department of Professional and Financial Regulation, Office of Professional and Occupational Regulation · Application information
Annual renewal
- Existing license
- Hold an unexpired massage therapist license and submit the completed renewal application.
- Fee
- Pay the $40 renewal fee.
- Renewal verification
- The Department must verify all renewal conditions; submission is not automatic renewal.
- Term
- Renew annually on the original license anniversary date.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. Chapter 127
32 M.R.S. section 14306-F(1), timely and 90-day renewal, page 3
- Massage Therapist licensing and renewal instructions
Renewal fees and information, renewal verification
Licensure by endorsement
- Existing license
- Present proof of another United States jurisdiction license with substantially equivalent requirements under 10 M.R.S. section 8003-H.
- Fees
- Pay required endorsement fees.
- Good standing
- Be in good standing in every jurisdiction where a license is or was held: no pending complaint, allegation or investigation, no suspension or practice restriction, and no surrendered or revoked license.
- Jurisprudence permission
- Section 8003-H permits a jurisprudence examination only if one is required by the office law or rule. The defining massage qualifications in section 14306-D and implementing Chapter 300 identify national sponsor examinations or approved training, and establish no massage jurisprudence examination.
- No denial ground
- No statutory cause for license denial may exist.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. Chapter 127
32 M.R.S. section 14306-H, page 4
- 10 M.R.S. section 8003-H
10 M.R.S. section 8003-H, opening paragraph
- 10 M.R.S. section 8003-H
10 M.R.S. section 8003-H, jurisprudence permission paragraph
- 32 M.R.S. section 14306-D
32 M.R.S. section 14306-D(1)(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 1(A)
Initial licensure through department approved training
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Approved training
- Complete a department-approved course of at least 500 supervised clock hours. Chapter 300 requires at least 120 hours of anatomy, physiology and pathology and at least 100 hours of supervised hands-on practice; the curriculum must include all listed theory, technique, safety, business, ethics and legal subjects.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- First aid cpr
- Provide proof of current First Aid and CPR course completion taught by a nationally certified instructor; these hours do not count toward the minimum 500 hours.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Training transcript
- Provide an official transcript containing the student identity, subject hours, institution identity, admission date and graduation date.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. section 14306-D
32 M.R.S. section 14306-D(1)(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 1(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 3(A)
Initial licensure through examination
At least one of the following alternatives:
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Exam alternatives
- Pass an examination sponsored by NCBTMB or FSMTB; the supplied frozen nationwide context identifies BCETMB and MBLEx. The statute also permits successor or other organizations approved by the department; unspecified additional approved examinations are an applicant condition.
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Training alternative
- Section 14306-D(1)(A) permits department-approved training of at least 500 hours instead of examination. That distinct qualification pathway is also recorded separately.
Late renewal within 90 days of expiration
- Expiration window
- Apply after expiration but within 90 days.
- Fees
- Pay the renewal fee and $50 late fee.
- Unlicensed period
- Chapter 11 states that the license is issued from the late renewal date, without retroactivity; the licensee was unlicensed during the intervening period.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. Chapter 127
32 M.R.S. section 14306-F(1), timely and 90-day renewal, page 3
- 02-041 CMR Chapter 11
02-041 CMR Chapter 11 section 2(1)
Military endorsement of a comparable license
- Discretion
- Section 8011(1) permits the authority to grant this endorsement.
- Existing license
- Hold a comparable license in good standing in another state.
- Qualified person
- Be an active duty servicemember or recently separated veteran, or a spouse or domestic partner of either. A recently separated veteran is within three years of honorable discharge or release from active duty.
- Term
- For the remainder of the other license term or until a Maine license is obtained.
Official no-examination sources
Effective from 2026-09-22.
- 10 M.R.S. section 8011
10 M.R.S. section 8011(1)
- 10 M.R.S. section 8001
10 M.R.S. section 8001(38), regulatory functions paragraph
Recognition under federal military license portability
- Application
- Submit proof of military orders, marriage certificate if applying as spouse, and the notarized affidavit specified in section 4025a(c), affirming identity, complete and true statements, knowledge of Maine requirements and scope, compliance with those requirements, and good standing.
- Background check
- The authority may perform a background check under section 4025a(d).
- Compact limitation
- When the covered license operates in multiple states pursuant to an applicable interstate compact, section 4025a(e) applies the compact or state law and excludes this federal portability section.
- Covered license
- License must be in good standing, with no revocation, discipline, pending unprofessional-conduct investigation, or surrender during such investigation as defined in 50 U.S.C. section 4025a(f).
- Military relocation
- A servicemember or spouse with a covered professional license relocates residence because of military orders to a state different from the issuing licensing authority.
- State guidance
- OPOR directs military applicants relocating under orders to contact licensing staff. The Board-linked DOJ handout could be read by server-side access, but local attempts did not obtain its PDF bytes; it is not cited as a pinned document. The controlling current U.S. Code text was obtained and is cited instead.
Official no-examination sources
Effective from 2026-09-22.
- 50 U.S.C. section 4025a
50 U.S.C. section 4025a(a)
- OPOR Active and Retired Military and Military Spouses page
Active military or spouses moving to Maine pursuant to military orders
- 10 M.R.S. section 8001
10 M.R.S. section 8001(38), regulatory functions paragraph
Reinstatement through approved training: More than 90 days and within two years after expiration
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Approved training
- Complete a department-approved course of at least 500 supervised clock hours. Chapter 300 requires at least 120 hours of anatomy, physiology and pathology and at least 100 hours of supervised hands-on practice; the curriculum must include all listed theory, technique, safety, business, ethics and legal subjects.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Expiration window
- More than 90 days and within two years after expiration
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- First aid cpr
- Provide proof of current First Aid and CPR course completion taught by a nationally certified instructor; these hours do not count toward the minimum 500 hours.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Reapplication
- Reapply under the new-applicant requirements with original application, documentation and fees.
- Training transcript
- Provide an official transcript containing the student identity, subject hours, institution identity, admission date and graduation date.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. Chapter 127
32 M.R.S. section 14306-F(1), applications later than 90 days, page 3
- 32 M.R.S. section 14306-D
32 M.R.S. section 14306-D(1)(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 1(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 3(A)
- Massage Therapist licensing and renewal instructions
Renewal fees and information / Requirements, reapplication after 90 days
Reinstatement through examination: More than 90 days and within two years after expiration
At least one of the following alternatives:
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Commissioner waiver
- The commissioner may waive examination, considering public protection, if the application and late and renewal fees are received within two years of expiration. Examination leaves remain because the route involves those currently offered examinations and the waiver is an applicant condition.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Exam alternatives
- Pass an examination sponsored by NCBTMB or FSMTB; the supplied frozen nationwide context identifies BCETMB and MBLEx. The statute also permits successor or other organizations approved by the department; unspecified additional approved examinations are an applicant condition.
- Expiration window
- More than 90 days and within two years after expiration
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Reapplication
- Reapply under the new-applicant requirements with original application, documentation and fees.
- Training alternative
- Section 14306-D(1)(A) permits department-approved training of at least 500 hours instead of examination. That distinct qualification pathway is also recorded separately.
Reinstatement through approved training: More than two years after expiration
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Approved training
- Complete a department-approved course of at least 500 supervised clock hours. Chapter 300 requires at least 120 hours of anatomy, physiology and pathology and at least 100 hours of supervised hands-on practice; the curriculum must include all listed theory, technique, safety, business, ethics and legal subjects.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Expiration window
- More than two years after expiration
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- First aid cpr
- Provide proof of current First Aid and CPR course completion taught by a nationally certified instructor; these hours do not count toward the minimum 500 hours.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Reapplication
- Reapply under the new-applicant requirements with original application, documentation and fees.
- Training transcript
- Provide an official transcript containing the student identity, subject hours, institution identity, admission date and graduation date.
Official no-examination sources
Effective from 2026-09-22.
- 32 M.R.S. Chapter 127
32 M.R.S. section 14306-F(1), applications later than 90 days, page 3
- 32 M.R.S. section 14306-D
32 M.R.S. section 14306-D(1)(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 1(A)
- 02-041 CMR Chapter 300
02-041 CMR Chapter 300 section 3(A)
- Massage Therapist licensing and renewal instructions
Renewal fees and information / Requirements, reapplication after 90 days
Reinstatement through examination: More than two years after expiration
At least one of the following alternatives:
- Application
- Submit a complete application and legible, unaltered supporting documents; Chapter 300 section 1(D) requires completion within two months of receipt, otherwise a new application and supporting documents are required.
- Competence
- Demonstrate competence to practice massage therapy in a manner safeguarding the public.
- Exam alternatives
- Pass an examination sponsored by NCBTMB or FSMTB; the supplied frozen nationwide context identifies BCETMB and MBLEx. The statute also permits successor or other organizations approved by the department; unspecified additional approved examinations are an applicant condition.
- Expiration window
- More than two years after expiration
- Fees
- Pay required application and license fees; the official licensing page lists a $40 license fee and $21 criminal background check fee.
- General education
- Possess a high school diploma or its equivalent under section 14306-D(1)(C).
- Hardship
- 10 M.R.S. section 8003(2-A)(O)-(P) permits case-by-case waivers of documentation and fees for extreme demonstrated hardship without reducing proficiency standards.
- Military training credit
- Under 10 M.R.S. section 8011, satisfactory military education, training or service must be accepted toward licensure qualifications for qualified persons. Under section 8003(2-A)(M), veteran examination and licensing eligibility may be evaluated case by case.
- Minimum age
- Be at least 18 years old under 32 M.R.S. section 14306-D(1)(B).
- Reapplication
- Reapply under the new-applicant requirements with original application, documentation and fees.
- Training alternative
- Section 14306-D(1)(A) permits department-approved training of at least 500 hours instead of examination. That distinct qualification pathway is also recorded separately.
Massage & Bodywork Licensing Examination
- Provider
- Federation of State Massage Therapy Boards; administered at Pearson VUE (Pearson Professional Centers) test centers
- Format
- Computer-based, fixed-length computer-adaptive test (CAT) of multiple-choice questions, each with one correct answer; offered in English and Spanish and administered year-round; results reported as PASS or FAIL, with a diagnostic report by content area for failing candidates
- Exam questions
- 100 multiple-choice questions
- Time limit
- 110 minutes for 100 questions within a two-hour (120-minute) appointment
- Passing score
- Criterion-referenced passing standard adopted by the FSMTB Board of Directors; results reported as PASS or FAIL
- Exam fee
- $265 MBLEx application fee
Examination outline
Anatomy & Physiology (11%)
- A. System structure — Cardiovascular
- A. System structure — Digestive
- A. System structure — Endocrine
- A. System structure — Integumentary
- A. System structure — Lymphatic & Immune
- A. System structure — Musculoskeletal
- A. System structure — Nervous
- A. System structure — Reproduction
- A. System structure — Respiratory
- A. System structure — Sensory
- A. System structure — Urinary
- B. System function — Cardiovascular
- B. System function — Digestion
- B. System function — Endocrine
- B. System function — Integumentary
- B. System function — Lymphatic & Immune
- B. System function — Musculoskeletal
- B. System function — Nervous
- B. System function — Reproduction
- B. System function — Respiratory
- B. System function — Sensory
- B. System function — Urinary
- C. Tissue injury and repair
- D. Concepts of energetic anatomy
Kinesiology (12%)
- A. Skeletal muscle components & characteristics
- B. Concepts of skeletal muscle contractions
- C. Proprioceptors
- D. Skeletal muscle locations, attachments (origins, insertions), & actions
- E. Joint structure and function
- F. Range of motion — Active
- F. Range of motion — Passive
- F. Range of motion — Resisted
Pathology, Contraindications, Areas of Caution, Special Populations (14%)
- A. Overview of Pathologies
- B. Contraindications — Site specific
- B. Contraindications — Pathology related
- B. Contraindications — Special populations
- B. Contraindications — Tools
- B. Contraindications — Special applications
- C. Areas of caution
- D. Special populations
- E. Classes of medications
Benefits and Effects of Soft Tissue Manipulation (15%)
- A. Physiological effects of soft tissue manipulation
- B. Psychological effects of soft tissue manipulation
- C. Effects of soft tissue manipulation for specific client populations
- D. Soft tissue techniques — Types of strokes
- D. Soft tissue techniques — Sequence of application
- E. Hot/cold applications
- F. Overview of massage/bodywork modalities
Client Assessment, Reassessment & Treatment Planning (17%)
- A. Organization of a massage/bodywork session
- B. Client consultation and evaluation — Verbal intake
- B. Client consultation and evaluation — Health history form
- C. Written data collection
- D. Visual assessment — General
- D. Visual assessment — Postural
- D. Visual assessment — Gait
- E. Palpation assessment
- F. Range of motion assessment
- G. Clinical reasoning — Ability to rule out contraindications
- G. Clinical reasoning — Client treatment goal setting
- G. Clinical reasoning — Evaluation of response to previous treatment
- G. Clinical reasoning — Formulation of treatment strategy
Ethics, Boundaries, Laws, Regulations (16%)
- A. Ethical behavior
- B. Professional boundaries
- C. Code of ethics violations
- D. The therapeutic relationship
- E. Dual relationships
- F. Sexual misconduct
- G. Massage/bodywork-related laws and regulations
- H. Scope of practice
- I. Professional communication
- J. Confidentiality
- K. Principles
Guidelines for Professional Practice (15%)
- A. Proper and safe use of equipment and supplies
- B. Practitioner hygiene
- C. Sanitation and cleanliness
- D. Safety practices — Facilities
- D. Safety practices — Practitioner safety
- D. Safety practices — Client safety
- E. Practitioner care — Body mechanics
- E. Practitioner care — Personal protective equipment (PPE)
- E. Practitioner care — Self-care
- E. Practitioner care — Injury prevention
- F. Draping — Safe and appropriate
- F. Draping — Communication
- G. Business Practices — Business planning
- G. Business Practices — Strategic planning
- G. Business Practices — Office management
- G. Business Practices — Marketing
- G. Business Practices — Hiring/Interviewing
- G. Business Practices — Documentation & Records — Client records
- G. Business Practices — Documentation & Records — Business records
- H. Healthcare and business terminology
Examination sources
- FSMTB MBLEx Content Outline
MBLEx Content Outline, title
- FSMTB MBLEx Content Outline
MBLEx Content Outline, footer
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Anatomy & Physiology heading
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Kinesiology heading
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Benefits and Effects heading
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Ethics heading
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Guidelines heading
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, Anatomy & Physiology item A
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.13, Content Outline, footer
- FSMTB Exam Content page
Exam Content page, FSMTB Job Task Analysis paragraph
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.26, Computer Adaptive Testing (CAT)
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.20, Test Length and Time Allowed
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.21, Examination Results Reported as PASS or FAIL
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.27, Criterion-Referenced Scoring, second paragraph
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.26, Development of the Examination, Stage 2
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.8, Fees
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.9, Authorization to Test (ATT)
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.16, Scheduling Your Exam Appointment
- FSMTB MBLEx Candidate Handbook
Candidate Handbook p.7, Exam Language
Board Certification Examination for Therapeutic Massage and Bodywork
- Provider
- National Certification Board for Therapeutic Massage & Bodywork; developed, administered and scored with Prometric at Prometric test centers
- Format
- Computer-based multiple-choice certification examination; four choices per question with one correct answer; results communicated on screen at completion as Pass or No Pass
- Exam questions
- 140 multiple-choice questions
- Time limit
- 140 minutes
- Passing score
- Scale score; each question graded right or wrong with no partial credit; reported as Pass or No Pass
- Exam fee
- $275 Board Certification Examination Fee
Examination outline
Assessment, Care Planning, and Documentation (25%)
- Knowledge — Interview techniques (e.g., open-ended and fact-finding questions, verbal and nonverbal communication skills, reflective listening)
- Knowledge — Assessment methods (e.g., health history, observation, palpation, range of motion, posture, gait, pain scale, special tests)
- Knowledge — Common pathologies, injuries, and pre-/post-surgical considerations
- Knowledge — Common prescription and non-prescription medications, their effects, and side effects (e.g., pain medications, muscle relaxants, cardiovascular agents, anti-inflammatories)
- Knowledge — Stages of tissue healing
- Knowledge — Special populations (e.g., pregnancy, oncology, geriatric, athletes, disabilities, palliative)
- Knowledge — Indications and contraindications
- Knowledge — How to customize a massage (e.g., analysis, synthesis, application of client information, and research data)
- Knowledge — How to communicate with clients in understandable terms
- Knowledge — Informed consent (e.g., risks and benefits)
- Knowledge — Documentation formats (e.g., Subjective, Objective, Assessment/Application, Plan [SOAP], Focus, Data, Action, Response [FDAR])
- Knowledge — Medically accepted terminology
- Knowledge — Health care practices (e.g., prescription for treatment, medical insurance, procedural codes)
- Skills — Use a variety of interview techniques to gather client information
- Skills — Conduct a variety of assessments (e.g., range of motion, posture, gait, pain scale, palpation)
- Skills — Develop a plan for the massage session (e.g., short-term, long-term where appropriate)
- Skills — Identify and discuss indications, contraindications, pathologies, and special accommodations, and adapt the session as needed
- Skills — Obtain informed consent
- Skills — Adapt massage for pre- and post-surgical considerations
- Skills — Adapt massage based on prescription and non-prescription medications
- Skills — Customize massage based on client's goals
- Skills — Monitor client responses, and solicit feedback during and after the session
- Skills — Educate client about the care plan, including self-care activities as appropriate
- Skills — Maintain client documentation
- Skills — Utilize medically accepted terminology in client documentation
- Skills — Collaborate with health care providers when appropriate
- Skills — Apply research evidence to client-centered care planning
Massage Techniques and Modalities (24%)
- Knowledge — General massage techniques (e.g., effleurage, petrissage, tapotement, vibration, friction)
- Knowledge — Massage modalities (e.g., Swedish, deep tissue, neuromuscular/trigger point therapy, proprioceptive neuromuscular facilitation [PNF], Eastern and energetic bodywork therapies)
- Knowledge — Pressure and manual forces (e.g., compression, tension/decompression, friction/shear, bending, torsion, vibration)
- Knowledge — Stretching (e.g., barriers, end-feel)
- Knowledge — Joint mobilization
- Knowledge — Endangerment sites and adverse events
- Knowledge — Client positioning (e.g., prone, supine, bolstered, side-lying, seated)
- Knowledge — Appropriate use of tools and equipment
- Knowledge — Appropriate use of topical agents (e.g., analgesics, essential oils, CBD)
- Knowledge — Benefits and effects of techniques and modalities
- Knowledge — Draping techniques
- Skills — Apply massage and bodywork techniques in a safe manner, monitoring responses and adapting techniques as needed
- Skills — Utilize effective body mechanics during the session
- Skills — Identify the benefits of massage and bodywork techniques and modalities
- Skills — Identify endangerment sites and adverse effects
- Skills — Position clients for comfort and safety, utilizing positioning equipment as appropriate
- Skills — Apply appropriate draping techniques
Anatomy, Physiology, and Kinesiology (24%)
- Knowledge — Anatomy and physiology of all body systems, including: Integumentary system; Muscular system; Skeletal system; Nervous system; Cardiovascular system; Lymphatic system; Endocrine system; Reproductive system; Respiratory system; Digestive system; Urinary system
- Knowledge — Immune response (e.g., inflammation, lethargy)
- Knowledge — Kinesiology (e.g., mechanics of body movement including levers, agonists, antagonists, synergists, compensatory patterns)
- Skills — Identify structures, functions, and interactions of body systems (i.e., integumentary, muscular, skeletal, nervous, cardiovascular, lymphatic, endocrine, reproductive, respiratory, digestive, urinary)
- Skills — Identify origins, insertions, actions, functions, and innervations of muscles
- Skills — Identify types of muscle contractions
Professional Practice (14%)
- Knowledge — NCBTMB’s Standards of Practice
- Knowledge — Standard of care for safe practice procedures (e.g., infection control)
- Knowledge — Information literacy and research literacy (i.e., how to locate and evaluate research)
- Knowledge — Professional development (e.g., continuing education, specialty credentials, board certification)
- Knowledge — Therapist self-care (e.g., body mechanics, physical activity, hand-held tools, professional consultation, mentorships)
- Knowledge — Business entities (e.g., independent contractor, employee, business structure)
- Knowledge — Business practices and policies (e.g., marketing, cancellation, no-show)
- Knowledge — Accounting principles and financial record keeping (e.g., tax filings, profit and loss, income reporting, bartering)
- Knowledge — Professional liability insurance
- Knowledge — Emergency preparedness (e.g., medical emergencies, disaster preparedness)
- Skills — Maintain a clean, sanitary, safe, and accessible facility
- Skills — Clean, disinfect, and maintain tools and equipment
- Skills — Stay current with massage therapy research
- Skills — Participate in professional development
- Skills — Apply standard massage therapy business and employment practices
- Skills — Practice self-care regimen for injury prevention and career longevity
- Skills — Manage medical emergencies when they arise
Law and Ethics (13%)
- Knowledge — Massage practice laws and regulations (e.g., licensing, scope of practice, insurance requirements)
- Knowledge — Legal requirements for record keeping (e.g., retention, release, disposal, HIPAA)
- Knowledge — Establishment laws and zoning ordinances
- Knowledge — Ethical principles (e.g., confidentiality, autonomy, veracity, non-malfeasance, beneficence, nondiscrimination, empathy)
- Knowledge — Professional roles and boundaries (e.g., dual relationships, power differential, transference and countertransference)
- Knowledge — Ethical strategies for managing and resolving conflict (e.g., conflicts of interest, how and when to terminate a session, right of refusal)
- Knowledge — NCBTMB’s Code of Ethics
- Knowledge — Cultural sensitivity
- Knowledge — When, where, and how to report inappropriate behavior and sexual misconduct (e.g., clients, peers)
- Knowledge — Mandatory reporting requirements (e.g., human trafficking, minors and dependent adults)
- Skills — Follow local and state laws and regulations for massage therapy practice, operating within scope of practice
- Skills — Maintain client information and records, safeguarding client confidentiality
- Skills — Apply ethical principles in professional interactions
- Skills — Establish and maintain professional, culturally sensitive relationships with clients
- Skills — Identify and manage legal and ethical conflicts
- Skills — Establish, communicate, and respect therapist/client roles and boundaries
- Skills — Report inappropriate behavior and sexual misconduct to the proper authorities
Examination sources
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.3, Board Certification Overview, content outline statement
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.4, Exam Make-Up, first domain heading
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.5, Exam Make-Up, second domain heading
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.6, Exam Make-Up, third domain heading
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.6, Exam Make-Up, fourth domain heading
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.7, Exam Make-Up, fifth domain heading
- NCBTMB Board Certification Exam Breakdown
Board Exam Breakdown, Exam Make-Up, second domain heading
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.3, Exam Facts, first bullet
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.3, Exam Facts, second bullet
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.3, Exam Facts, third bullet
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.17, Results & Score Reports, How Your Exam is Scored
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook p.18, What to Expect Once You Finish Your Exam
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook, Eligibility Requirements, opening sentence
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook, Fees
- NCBTMB Board Certification Candidate Handbook
Candidate Handbook, scheduling with Prometric