How to Become a Massage Therapist (And What You Need to Know Before You Start!)

Table of Contents

Pop quiz.

Do you love helping others?
Do you have strong hands and stamina?
Are you interested in anatomy and wellness?
Are you comfortable with close physical contact?

If you answered yes to all (or most) of these questions, starting a career in massage therapy might be an ideal choice for you. Already picturing yourself in a candlelit spa room, working out a knot for a client? Awesome. Let’s get you on your journey.

Here’s everything you need to know about how to become a massage therapist.

A checklist to see if massage therapy is right for you.

Understanding Massage Therapy as a Career

Massage therapists are trained bodywork professionals who manipulate the tissues of the body to promote relaxation, relieve pain, and improve overall well-being.

Essentially, they work to help clients feel better!

Once you go through massage therapy training, your day-to-day activities can include:

  • Creating a calm, relaxing environment
  • Assessing clients’ medical history and goals for each session
  • Performing hands-on techniques to reduce tension and stress
  • Customizing treatment during sessions based on client needs
  • Documenting treatments, progress, and any client concerns
  • Collaborating with healthcare providers, like physical therapists and doctors
  • Managing business operations (bookings, payments, etc.) if self-employed

Work settings include:

  • Spas
  • Salons
  • In-home studio
  • Hotels/resorts
  • Client homes
  • Cruise ships
  • Sports clubs
  • Fitness centers
  • Clinics/hospitals
  • Franchise massage spas

There are many types of massage therapy you can specialize in:

  • Swedish
  • Deep tissue
  • Hot stone
  • Prenatal
  • Animal
  • Shiatsu
  • Sports
  • Thai
  • Chair
  • Trigger point
  • Reflexology

Massage therapy is a flexible career that allows you to choose where and what to practice. You can start as a mobile massage therapist, traveling to homes and offices, and build your client base. Or, begin working at an established spa as an employee or independent contractor.

There are many different massage therapy career options — all enabling you to do what you love!

Comparison of Common Massage Therapy Workplaces

Workplace Type Pros Cons
Spa or Salon

Steady flow of clients, marketing handled, lower overhead

Lower pay per session, less scheduling flexibility
Chiropractic Office
Medical focus, consistent client base, potential for referrals
May require medical documentation, more structured environment
Wellness Center
Collaborative environment, holistic care team, good learning experience
May need to follow center protocols, varied pay structures
Mobile/Outcall
Flexible schedule, high per-session rate, low overhead
Travel time/cost, physical demands, safety concerns
Self-Employed (Studio)
Full control over rates/schedule, brand building
Must handle all marketing, licensing, and business expenses
Franchise
Reliable traffic, streamlined systems
Standardized routines, lower autonomy, commissions may be taken
A massage therapist wearing a navy polo and khakis performs a back and neck massage on a client in a room with large open windows

Key Considerations Before Pursuing a Career in Massage Therapy

Pursuing a bodywork career isn’t all scented candles and moments of zen. (Though, that’d be nice!) Be sure to consider the following before committing to a massage therapy career.

Physical Demands

Massages are relaxing for your client, but a lot of hard work on your end! Doing multiple sessions a day can be physically taxing, requiring you to stand and use your muscles for hours. So, you must be prepared for the physical toll it can take on your body.

Consider your physical health and if you believe you can sustain it for the span of your future career. Additionally, ensure you can maintain a healthy work-life balance so you don’t burn out.

“Many people think about the emotional and mental challenges associated with working in this field, but they often do not think about the physical demands of treating someone. I have worked with a number of therapists who have developed repetitive strain injuries due to utilizing poor body mechanics or simply overusing their bodies. If you are interested in doing this job, I would encourage you to pay attention to your body mechanics from the very beginning, which I believe will improve your long-term outcomes.” – Dr. Chad Walding, Doctor of Physical Therapy, Co-Founder of Nativepath

Interpersonal Skills

You also need interpersonal skills to communicate effectively and pick up on nonverbal cues. For example, if a first-time client feels nervous going into a session, you need to be able to put them at ease and explain techniques in a calming, professional manner.

Finding Clients

A common struggle massage therapists face is finding and keeping clients. Establishing trust, gaining loyal clients, and building up your booking calendar takes time. Be prepared to market your business heavily:

  • Offer promotions
  • Set up a referral system
  • Give away freebies (massage oil samples, candles, etc.)
  • Perform mini massages at local events or businesses
  • Promote your business on social media

Always talk about your business to anyone you meet. You never know who might be interested in your services.

But above all, don’t get discouraged. Your client base will grow if you offer consistently excellent service — word-of-mouth recommendations will naturally come about as clients experience the benefits of your massage practice.

Salary Expectations

Having realistic salary expectations is crucial. The job outlook for massage therapists is positive (projected to grow 18% into 2033!) as more people prioritize wellness. But remember, your income will vary based on the number of clients you have, your geographic location, and your experience. The average massage therapist salary in the U.S. is about $77,000 a year. Get an idea of how much you might earn: Massage Therapist Salaries by State. Recap: Before committing to a massage therapy career, be aware that:
  • It can be physically demanding
  • It requires strong interpersonal skills
  • You may not get clients right away
  • You may not make that much money right away
But with determination, you can make your career a rewarding one!
“The advice I’d give anyone considering pursuing massage therapy is to receive advanced work, like Structural Integration and/or Rolfing first. These schools of work have really helped to bring more awareness to self and body — still very much an ongoing process. Better awareness and presence within our bodies, I believe, are key to being able to be at our best and to do our best as bodyworkers.” – Clarissa Torres, Certified Massage Therapist and Board-Certified Structural Integrator, Essential Bodywork with Clarissa
A massage therapist wearing a black top and pants uses a massage roller on a client during a massage service.

How to Become a Massage Therapist

Ready to jump into your new career? Across most of the U.S., you need a state-issued massage therapy license to offer massage services.

To qualify for a license application, you typically need to be at least 18 years old with a high school diploma or GED.

Here’s how to become a licensed massage therapist.

1. Enroll in an Accredited Program

Enroll in an accredited massage therapy program in the state you want to work in. Make sure your state board of massage therapy has already approved the curriculum.

2. Complete the Required Hours

Get hands-on experience by completing the required classroom and practical hours. The required number of hours ranges from 500 to 1,000 of study.

3. Pass the MBLEx

After completing your education, you must pass a nationally recognized massage therapy exam. This is usually the Massage & Bodywork Licensing Examination (MBLEx) administered by the Federation of State Massage Therapy Boards (FSMTB).

4. Apply for State Licensure

Finally, apply for massage therapy licensure with your state board of massage therapy. This often includes having your official transcripts sent directly from your school, showing proof of passing exam scores, and passing a background check. You may also have to:
  • Pass a state laws and rules exam
  • Show proof of liability insurance
  • Obtain CPR and first aid certification
A handful of states do not require massage therapists to be licensed, but local jurisdictions within the state may have their own regulations. Check out your state’s massage therapy license requirements.

5. Bonus: Get Certified

If you want to expand your skills or specialize in a specific type of massage, earning additional certifications can be a great next step. Certifications are available for niches like prenatal, sports, or medical massage — perfect for building a focused practice and standing out in a competitive market. The highest credential you can earn is issued by the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB). This certification demonstrates you have the expertise to provide high-quality care to your clients and can effectively work alongside medical and healthcare professionals. Learn more about massage licenses versus certification. Pro Tip: When you’re just starting out, it’s crucial to network with other massage therapists and find a mentor to help you grow professionally. Look for a mentor who:
  • Is passionate about massage therapy
  • Can balance education with experience
  • Has a teaching style you resonate with
  • Can commit to developing your talent
  • Is flexible, fun, and quick to praise excellent work
A woman relaxes while receiving a head massage in a candlelit spa room.

Setting Up Your Massage Therapy Career

After you become a massage therapist with a shiny new state license, it’s time to set up your career.

Finding a Job

Explore different work environments to find what works best for you. Once you have an idea, search for job openings online on sites like Indeed, Glassdoor, or Find Touch. Many massage schools offer job placement assistance, connecting you with local employers, so be sure to tap into that resource if it’s available to you! You can also apply directly at spas, wellness centers, resorts, and clinics. Walking into these locations for a face-to-face introduction helps you make a good impression and get hired. Another option is to go where the demand is — as a mobile massage therapist. Partner with local gyms, yoga studios, or corporate wellness programs to offer your services on-site and build your client base. Don’t forget your network! Maintain relationships with your school and industry peers who may be able to lead you to employment opportunities. Employee vs. Independent Contractor? Some businesses hire massage therapists as employees, with a set salary and stable hours. However, many therapists work as independent contractors, meaning they provide services at a location but handle their own scheduling, payments, and business operations. If you choose to work independently, you’ll need to manage your finances, keep track of expenses, and file taxes as a self-employed professional. Staying organized is key, and your success will depend on how well you market yourself and build a loyal client base!

Protecting Your Practice

After your rigorous training, you’ll have gained the knowledge and skills to offer excellent massages — all while keeping your clients safe. But have you ever thought about how things can go wrong? Some mishaps can be out of your control. From an allergic reaction to massage oil to a slip-and-fall in your studio, client injuries happen to even the most experienced massage therapists! You can be liable for property damage, like a ruined floor, or unmet expectations, like a client claiming your massage didn’t relieve their pain. Massage therapist liability insurance is a safety net that financially protects your practice from expensive claims like these. From the beginning of your career, it’s essential to carry the right coverage — you need both general and professional liability coverage to safeguard your business from multiple angles. Pro Tip: You can easily buy insurance coverage online with us, Beauty & Bodywork Insurance (BBI). The massage professional policy starts at $9.99/month, with industry-preferred coverage limits of $2 million per claim and $3 million for the entire year.

Staying Educated

Massage therapy is constantly evolving, and continuing education helps you provide the best care for your clients. Most states require CE (continuing education) hours to maintain your license — same for any certifications you earn. Take online courses and attend industry conferences to stay updated on new techniques and specializations. This helps you stay competitive, market your practice, and increase your earning potential. Explore more about CE courses from FSMTB.

Good Luck With Your New Career

You’ve got an exciting journey ahead of you. After studying, getting licensed, and finding a job, you’ll be well on your way to helping clients feel their best.

FAQs About Starting a Massage Therapy Career

The time it takes to become a licensed massage therapist varies by state, but most programs take about 6 to 12 months to complete, followed by passing a licensing exam.

Massage therapy school tuition ranges from $5,000 to $20,000, depending on location and length. For example, tuition and supplies fees at Seattle Clinical Massage School are $16,650 for 705 hours of study.
You can earn a great income as a massage therapist, especially if you build a loyal client base or offer specialized services. According to ZipRecruiter, entry-level massage therapists make about $34 an hour.

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