Massage Therapy Licensing & Regulation

Provincial authority and recent changes

Provincial and territorial authorities determine professional licensing. Established statutory massage systems include British Columbia, Ontario, New Brunswick, Newfoundland and Labrador, and Prince Edward Island. Manitoba designated massage therapy as a regulated health profession and established the College of Massage Therapists of Manitoba on June 16, 2026. That founding regulation does not itself set out an applicant registration process; applicants should confirm the province’s implementation arrangements. [1][3][4][7][8][9][2]

In British Columbia, the College of Complementary Health Professionals of BC publishes the current massage scope under the Health Professions and Occupations Act. Its April 2026 guidance distinguishes broad scope statements from restricted activities: a scope statement does not reserve every listed service exclusively to that profession. In Ontario, the Massage Therapy Act protects the titles massage therapist and registered massage therapist for College members, including equivalent titles in other languages. [3][4]

Education and recognition

The Canadian Massage Therapy Council for Accreditation evaluates education programs and expanded accreditation availability across all provinces and territories in March 2022. Accreditation is a program-quality measure. An overseas applicant still needs the intended province’s licensing route: IRCC expressly warns that an Educational Credential Assessment used for immigration does not automatically establish recognition for professional practice. [5][1]

A dated workforce measure

Statistics Canada’s 2025 workforce study reports 38,540 massage therapists in the 2021 Census occupational category NOC 32201. This is a national occupational count tied to that census, not a current register of licensed practitioners or evidence of identical requirements throughout Canada. [6]

Wellness functions and health-profession boundaries

CONOCER’s EC0900 standard, Aplicación de masaje holístico, evaluates performance of a defined holistic-massage function. It expressly concerns functions for which a professional degree is not legally required, and does not require that degree for its certification. That limited statement does not authorize every activity marketed as massage, physiotherapy or treatment. [1]

The current Ley General de Salud requires legally issued and registered qualifications for specified health professions, including terapia física, and registered diplomas for specified technical or auxiliary health work. Article 78 also recognizes applicable state professional laws. The law’s recognition of Indigenous traditional medicine in health policy does not itself replace the credential rules applicable to a particular professional service. [2]

A concrete local establishment example

In Mexico City, the establishments law classifies public baths, massage and gyms among low-impact businesses and requires the corresponding opening notice. Massage premises must display staff training credentials and prices, meet hygiene and other operating duties, and use premises compatible with permitted land use. The special home-business route in Article 37 excludes this category. These are Mexico City rules, not a statement that every state or municipality uses the same classification. [3]

Overseas education and verification

SEP’s DGAIR provides revalidation of higher education completed abroad for professional practice. Its current guidance distinguishes that process from entering further education and directs applications through the official revalidation system. Someone intending regulated health work should verify the relevant qualification registration and health requirements as well as the local business process; a foreign massage course or competency certificate alone does not resolve all three. [4][2][3]

Premises and protected titles

GOV.UK directs massage and special-treatment establishments to the council where their premises are located. The council determines whether a premises licence is required, its cost and conditions; an inspection may precede approval. Therapists employed at the premises may also need council registration where required. Requirements therefore need checking at the actual location, rather than treating one council’s conditions as a UK-wide practitioner licence. [1]

Physiotherapist and physical therapist are protected titles regulated by the Health and Care Professions Council. A massage or sports-massage qualification does not itself establish entitlement to those titles. The HCPC public register is the appropriate place to verify a practitioner who advertises either protected professional identity. [3]

Voluntary registration and entry standards

The Professional Standards Authority identifies the Complementary and Natural Healthcare Council as a voluntary regulator with an Accredited Register. CNHC accepts massage therapy, sports massage and shiatsu among its disciplines. This role is separate from a local authority’s premises-licensing function. [2][4][1]

CNHC applicants must demonstrate education meeting the discipline’s National Occupational Standards and core curriculum, or assessed competence through relevant training and at least three years’ experience. Entirely distance-learning courses do not meet its requirements. Applicants must also have the right to work in the UK, current professional indemnity insurance and comply with conduct and continuing-development requirements. These are CNHC entry conditions, not proof that a foreign certificate automatically transfers or that council requirements are satisfied. [4]

Complementary practice and protected titles

The Department of Health’s complementary-therapy policy, published in 2014 and last updated in 2020, states that providers in that sector are not subject to professional statutory regulation, while consumer, competition, contract and criminal law still apply. It supports greater voluntary self-regulation. This is a bounded description of the complementary sector, not permission to practise a separately regulated health profession. [1]

CORU identifies physiotherapist and physical therapist among its protected professional titles. Private practitioners using protected titles must also register; membership of a professional association is not a prerequisite for CORU registration. A practitioner’s massage training or association membership should therefore not be presented as CORU authorization or as entitlement to a protected title. [2]

Education and overseas qualifications

QQI’s active Body Massage and Figure Analysis award, code 5N3465, is a 15-credit minor award at NFQ Level 5. It can contribute to the Level 5 Beauty Therapy major award. Its qualification level and award size describe education; they should not be represented as a professional licence or as equivalent to a full physiotherapy qualification. [3]

For overseas education, NARIC Ireland, hosted by QQI, provides advisory academic comparability statements. These are not legal documents or licences: employers, institutions and competent professional authorities make recognition decisions. International entrants to a CORU profession must have qualifications recognized by CORU before applying for registration. The relevant route depends on the profession actually being offered. [4][2]

The medical massage profession

The Masseur- und Physiotherapeutengesetz requires permission to use Masseur und medizinischer Bademeister or its feminine form. This is a specific health profession: an ordinary wellness course does not confer the protected medical title. The law separately protects the physiotherapist title. [1]

The standard medical massage training route comprises a two-year course at a state-recognized school, a state examination, and six months of practical activity. These are requirements of this named profession, rather than a single training standard for every service advertised as massage. [2]

Wellness and treatment

For someone who is not a physician, the Heilpraktikergesetz separately requires permission for professional healing activity. Its definition includes diagnosing, curing or alleviating disease, suffering or bodily injury. A title qualification should therefore not be read as an unrestricted authorization to diagnose or independently treat illness. [3][1]

Qualifications obtained abroad

Use the federal Recognition Finder for the medical massage profession and select the intended place of work. The responsible authority compares training and relevant experience, and checks requirements such as personal suitability, health and German language ability. Substantial training differences can lead to an adaptation course or examination. Recognition is an application and assessment process; a foreign massage certificate does not itself grant the German professional title. [4]

Nontherapeutic massage

In its 29 June 2021 decision, the Cour de cassation confirmed that the 2016 change to the Public Health Code removed nontherapeutic massage from the physiotherapy monopoly. The decision concerned a practitioner who had not confused his services with therapeutic acts. It supports a wellbeing-versus-treatment distinction, rather than permission to present unqualified treatment as physiotherapy. [1]

The regulated health profession

Masseur-kinésithérapeute is the professional route for physiotherapy. Article L4321-10 requires the relevant diploma or authorization to be registered and, subject to the statutory exception, inscription on the Ordre’s professional register before practice. A wellbeing massage certificate is not that diploma or authorization. [2]

The Ordre des masseurs-kinésithérapeutes is the statutory professional body for this health profession. Its registration function is different from membership of a wellbeing massage association. The Ordre describes the French diplôme d’État and separate routes for applicants holding eligible European qualifications. [3][2]

Moving with a foreign qualification

Eligible applicants with European physiotherapy qualifications use the regional authorization process. For example, the Pays de la Loire DREETS accepts online applications from eligible residents of that region. A regional commission assesses education and experience and may require an adaptation placement or aptitude test before authorization by the regional prefect. Registration with the departmental Ordre remains a further step. Eligibility and the competent regional office should be checked for the individual applicant. [4][3][2]

Commercial massage

Commercial massage is directed toward prevention and wellbeing in healthy people. Section 94 of the Gewerbeordnung lists massage as a regulated trade. Independent operation requires the applicable trade authorization and competence evidence, which can be supplied by the operator or a qualified trade-law manager. Routes include individual competence assessment by the trade authority. The Economic Chamber provides guidance; it does not itself issue that authorization. [1][6][7]

Medical massage and Heilmassage

Under the MMHmG, a medical masseur performs therapeutic work on a physician’s order and under the guidance and supervision of a physician or physiotherapist. A Heilmasseur carries out the prescribed treatment on their own professional responsibility, following a written medical order. The law protects the corresponding professional titles. [2]

The public health portal describes an 800-hour additional training route from medical masseur to Heilmasseur. Heilmasseure may work in healthcare organizations or freelance. This additional qualification changes professional responsibility and work arrangements; it does not remove the requirement for a medical order for therapeutic treatment. [3]

Training from outside Austria

The health ministry’s recognition route covers medical masseurs and Heilmasseure with eligible EU, EEA or Swiss qualifications. Education is assessed and compensation measures may be required. Qualifications from outside those countries normally use a nostrification route, with special conditions for certain qualifications already recognized in Europe. Applicants should follow the named profession’s process; recognition of a health qualification and authorization for a commercial massage business are separate matters. [4][5][1][7]

The medical massage qualification

For medical massage, the Canton of Bern accepts the federal professional certificate, specified earlier Swiss Red Cross credentials, or a recognized equivalent foreign qualification as part of its authorization requirements. These are named medical-profession credentials. A private wellness course should not be assumed equivalent to the federal certificate or to a recognized medical qualification. [1]

Check the canton of practice

Bern requires a medical massage practice permit and lists qualification, professional-register entry, good standing, health and language conditions. Zürich explicitly lists medical massage among professions that do not require its professional practice permit. These two official rules illustrate why the canton matters: the Zürich exception does not establish an exemption throughout Switzerland. [1][2]

The canton’s authorization decision and recognition of a diploma answer different questions. Applicants need to identify the exact profession and intended canton, then check that canton’s requirements. A recognized qualification alone does not settle every local condition for operating a practice. [1][2][3]

Foreign medical massage qualifications

The Swiss Red Cross handles recognition of foreign medical massage qualifications. Its process begins with a PreCheck, followed by the recognition application and assessment; additional measures may be required. The published language requirement is B2 in German, French or Italian. This is a recognition procedure for the listed healthcare profession, rather than automatic acceptance of all foreign massage certificates or voluntary association membership. [3][4]

General massage practice

KVK states that anyone may call themselves a masseur and that a particular diploma is not legally required for that general title. This does not turn every healthcare activity into unrestricted massage practice. The description of the service and the professional title matter, especially where work is presented as physiotherapy. [1][3]

A massage entrepreneur must register the business with KVK when the entrepreneurship criteria apply. A home practice also needs to fit the municipality’s environment plan and the applicable housing arrangements. Business registration records the enterprise; it is not a healthcare qualification or BIG registration. [2][3]

Association credentials and the BIG register

KVK describes the Nederlands Genootschap voor Sportmassage diploma and its renewable licence as an industry qualification route. That NGS credential belongs to a professional association. It should be distinguished from the statutory BIG register, which covers protected healthcare professions including physiotherapists. [1][3]

Bringing a healthcare qualification

A foreign-trained physiotherapist should use the BIG register’s recognition advice wizard. The applicable procedure depends on the profession and qualification: routes include recognition of professional qualifications or a certificate of competence. The authority assesses equivalence, normally requires appropriate Dutch language ability, and requires BIG registration for BIG professions. A foreign massage course is not automatically interchangeable with a recognized physiotherapy qualification. [4]

Wellbeing, aesthetic and therapeutic work

In its 18 May 2016 interpretation, the economic development ministry explained that massage directed solely at wellbeing, without therapeutic or aesthetic purposes, does not require authorization as an estetista. The same guidance retains general hygiene requirements and relevant regional or local premises rules. Its conclusion is tied to the actual activity; it does not permit a wellness business to reclassify therapeutic or aesthetic work by changing its name. [1]

Distinct professional qualifications

The government’s foreign-qualifications portal separately lists fisioterapista and massaggiatore capo bagnino degli stabilimenti idroterapici among professions handled by the Health Ministry. These are named professional pathways. They should not be treated as interchangeable with each other or with a generic certificate in wellbeing massage. [3]

For professions covered by Law 4/2013, associations may issue attestations about service quality and their members’ qualifications. MIMIT expressly says that these attestations are not necessary to carry out the activity. Association membership is therefore a different kind of credential from state authorization for a regulated healthcare profession. [2][3]

Qualifications from abroad

For a foreign qualification intended for the named physiotherapy or medical bathing/massage profession, start with the Health Ministry’s professional recognition process. The government portal identifies the ministry as the competent recognition authority. A wellness association cannot issue that official recognition. Applicants should match the exact Italian professional title and intended activity before choosing a qualification or recognition route. [3][2]

Physiotherapy and clinical work

The health-professions law identifies physiotherapy as a regulated health profession. Article 7 describes its care through physical means and agents for recovery, rehabilitation and prevention of somatic dysfunction or disability. A service involving this professional scope should not be assessed solely by whether it is advertised with the general word massage. [1]

Aesthetic massage qualifications

Royal Decree 209/2025 establishes the level-3 professional certificate Servicios hidrotermales y masajes estéticos, code IMP_C_002_5B. Its competence covers aesthetic massage, aesthetic lymphatic drainage and hydrothermal techniques within the personal-image vocational family. Its professional setting includes beauty businesses and related services. [2]

The decree expressly states that its certificates do not regulate the exercise of any regulated profession. This qualification therefore documents a particular educational route; it does not itself confer physiotherapist status or establish a universal permission for every activity described as massage. [2][1]

Foreign physiotherapy qualifications

The Ministry of Science identifies physiotherapy as a profession requiring recognition of an appropriate foreign university qualification. Its route distinguishes homologación of foreign degrees from the professional-recognition process administered by the Health Ministry for eligible European qualifications. Physiotherapists may also use the European Professional Card procedure where eligible. The relevant route depends on the qualification and applicant; an ordinary massage certificate is not automatically equivalent to the university qualification that gives access to physiotherapy. [3]

The physiotherapy profession

The Ordem dos Fisioterapeutas states that registration is mandatory for the professional title and practice of physiotherapy in any sector. Previous membership of the Associação Portuguesa de Fisioterapeutas or registration with ACSS does not replace registration with the Ordem. The professional order’s statutory role is therefore different from membership of a voluntary association. [1]

Massage and spa education

The official higher-education catalogue lists a 120-ECTS Curso técnico superior profissional in Termalismo e Bem-Estar at the University of Algarve’s health school. Its professional profile includes thermal treatments, massage and spa techniques, alongside hygiene, communication, first aid and treatment records. It awards a higher professional technical diploma. [2]

This is an example of an officially recorded educational qualification with a defined professional profile. It is not the physiotherapy qualification and registration route described by the Ordem. The existence of a massage or spa course should not be read as a national licence for every treatment, or as permission to use the physiotherapist title. [2][1]

Qualifications earned abroad

Since 15 December 2021, the Ordem has been the competent authority for recognition of foreign physiotherapy qualifications and the European Professional Card procedure. Portugal’s government guide distinguishes recognition of professional qualifications from the right to begin practising a regulated profession and directs applicants to its competent authority. The procedure depends on where the qualification was obtained and the applicable eligibility rules; a European card is a recognition process for listed professions, not a general European massage licence. [3][4]

Registration and therapeutic scope

The Allied Health Professions Act includes therapeutic massage therapy among the regulated professions. Subject to the Act’s exceptions, section 31 prohibits unregistered practice for gain, performance of acts specially belonging to the profession, holding oneself out as such a practitioner, and use of its professional title. AHPCSA is the statutory regulator; an association membership is a different credential. [1]

Final regulations published on August 22, 2025 define therapeutic massage and its professional acts. The scope includes assessment and soft-tissue treatment in the context of pre-diagnosed physical conditions, joint movement, stretching and relevant advice. The regulations also address external massage preparations and exclude medicines from that provision. A wellness, sports or traditional label does not by itself answer whether the actual service enters a regulated professional scope. [2][1]

Qualification and overseas entry

SAQA’s current Registered Therapeutic Massage Therapist designation lists an NQF Level 6 therapeutic-massage qualification as its underlying minimum and permits recognition of prior learning. SAQA records the designation; it is AHPCSA that controls professional registration. The current designation period runs from March 10, 2026 to March 9, 2031, rather than establishing the validity dates of an individual practitioner’s licence. [3][1]

AHPCSA publishes a specific foreign-qualification policy, Board Notice 175 of 2015. It requires documented qualifications and SAQA evaluation, professional-board review, then clinical and written examinations for approved applicants; jurisprudence and first-aid requirements also apply. Overseas training is therefore assessed rather than automatically transferred. Applicants should obtain the current application documentation directly from AHPCSA before relying on the older notice’s administrative details. [4]

National registration and state obligations

Ahpra expressly lists massage therapists among professions it does not regulate and directs relevant concerns to local health complaints bodies. This does not make massage health services exempt from regulation. For example, the NSW Health Care Complaints Commission handles complaints about massage therapists as non-registered health practitioners. [1][2]

In New South Wales, the Code of Conduct establishes standards for non-registered practitioners providing health services. The Commission says the code must be displayed at practitioners’ premises, subject to exceptions. A practitioner should check the health-complaints and conduct framework in the state or territory where services are delivered; NSW’s particular display rule should not be presented as a single national massage licence. [2]

Training and recognition

The national HLT52021 Diploma of Remedial Massage describes work with soft-tissue dysfunction, musculoskeletal imbalance and restricted movement. Its published qualification requirements include at least 200 hours of work in a simulated clinical environment. The qualification expressly requires skills to be applied under relevant Commonwealth, state or territory law and codes. Its statement about no licensing requirement for the qualification at publication is not a blanket exemption from practice obligations. [3]

VETASSESS offers a separate complementary-health qualification assessment, including massage, for applicants referred by a professional association or private health fund. It compares overseas education and supports membership applications; the service is explicitly not a migration assessment. Association membership and private-fund provider recognition should be checked separately from qualification completion and the legal conditions of providing the service. [4]

General massage and consumer rights

The Health and Disability Commissioner’s February 2025 massage decision describes the general massage profession as non-regulated under the health-practitioner framework, with no requirement to join a professional association. It also makes clear that providing health services brings obligations under the Code of Health and Disability Services Consumers’ Rights. The Ministry of Health confirms that the code applies to regulated and non-regulated providers alike. [1][2]

Professional association standards can still matter: the Commissioner used Massage Aotearoa New Zealand’s ethics and practice standards as a benchmark when assessing a massage provider who was not a member. The decision addressed complaint handling and clinical records. Voluntary membership should therefore be distinguished from both statutory registration and the duties owed to clients. [1]

Wellness and remedial education

NZQA lists the New Zealand Diploma in Remedial Massage at Level 6, with 120 credits, building on the Level 5 Wellness and Relaxation Massage diploma. Its graduate profile covers remedial protocols within scope, independent practice and referral to other professionals. These education pathways describe trained competence; they do not turn a general massage qualification into Chinese medicine registration. [3][4]

Chinese massage and overseas applicants

Chinese massage (tuina) is a defined scope regulated by the Chinese Medicine Council. Practitioners need registration and a current annual practising certificate. The Council’s scope notice effective March 13, 2026 provides an overseas route through assessment of Chinese medicine qualifications and, at its discretion, a competency assessment. This route applies to the regulated Chinese medicine scope, not automatically to every wellness or remedial massage certificate. [4][5]

Anma, massage and shiatsu

Article 1 of the national Act requires a person other than a physician who professionally performs anma, massage or shiatsu to hold the corresponding licence. The anma–massage–shiatsu licence is distinct from the acupuncture and moxibustion licences named in the same Act. This activity-based provision should guide the question of which authorization is needed. [1]

Education, examination and registration

The ordinary route requires at least three years at a recognized school or training institution, followed by the national examination. MHLW’s September 2026 examination notice confirms that route and identifies the designated examination foundation. It also sets out a separate educational pathway for qualifying visually impaired candidates; it is not a general shortcut for other applicants. [2]

Passing the examination and obtaining the licence are separate steps: the Act provides for a licensing application and entry in the professional register. A course completion document alone is therefore not the statutory licence. [1]

Premises and professional limits

A treatment premises must be notified to the responsible prefectural or local authority within ten days of opening, with separate rules for exclusively travelling practitioners. The professional licence does not authorize surgery or prescribing or administering medicines. Treatment of the affected area of a fracture or dislocation requires a physician’s consent. These boundaries apply alongside premises hygiene and equipment standards. [1]

The statutory anmasa profession

The Rules define anmasa work as physical procedures using manual methods such as anma, massage and acupressure, electrical equipment or other stimulation. This is the scope of a named statutory profession; a privately issued massage-course certificate should not be read as anmasa qualification recognition. [2][3]

Who can obtain qualification recognition

Article 82 limits the anmasa qualification route to people with visual disabilities within the referenced disability law. It provides two educational paths: the relevant physical-treatment curriculum at a qualifying special school offering high-school-equivalent education, or middle-school-level education followed by at least two years at a massage training institution designated by the Minister of Health and Welfare. [1]

Applicants submit evidence of the statutory eligibility requirements to the competent city or provincial governor. Under Rule 3, that authority issues the qualification certificate and records the recognition in its register. Training, recognition and the right to run a premises should therefore be checked separately. [3]

Premises and professional responsibilities

Anmawon and anma treatment establishments have an opening-notification process handled by the city, county or district authority. Rule 10 gives the professional association a consultation role in that process; it does not make the association the issuing authority for practitioner recognition. Operators must maintain hygiene, display prices and prevent people without the anmasa qualification from performing the regulated work. [5][4]

Nonmedical TCM wellness services

The National Administration of Traditional Chinese Medicine’s 2023 trial specification applies to nonmedical institutions registered for nonmedical TCM wellness services. It prohibits diagnosis and treatment in that setting and restricts medical claims in advertising. Its prohibited activities include acupuncture, traction and specified manipulation or invasive techniques; the particular activity matters more than a business’s wellness label. [1]

Medical practice has separate authorization

For practice as a physician in a medical or health institution, the Physicians Law separates professional qualification from practice registration. Article 13 requires registration and a physician’s practice certificate; Article 14 ties practice to the registered location, category and scope. The wellness specification itself directs medical institutions to the medical-institution framework. A wellness training certificate cannot establish those physician credentials. [2][1]

Training and institutional duties

The wellness specification requires personnel to have a relevant TCM professional background or specialized training, including knowledge of procedures, risk controls and first aid. It also sets institutional duties for safety, emergency arrangements, hygiene, personal information and disclosure of business and staff information. These are requirements within the nonmedical service framework, not a grant of medical scope. [1]

Physician registration is administered through the competent health authorities. Readers considering clinical work should check the intended professional category and registered scope with that authority; a course or occupational skill credential is not, by itself, the practice certificate identified in the law. [2]

Wellness premises and service providers

The Health Establishments Act covers spas and massage businesses for health or beauty, with stated exclusions for medical premises, public health units and establishments governed by other legislation. Section 12 requires a business licence. Sections 22–23 separately require service-provider registration, including a minimum age of 18 and a health-service diploma or certificate recognized by the Department of Health Service Support. [1]

The official provider manual confirms that recognized training is part of an application; it is not the registration itself. The Department’s current public portal separates checks for service providers, managers and licensed establishments, and lists recognized-course information. These are different records to verify when choosing a course or planning a business. [2][3]

Thai traditional medical practice

The Thai Traditional Medical Professions Act defines a clinical profession that includes Thai massage within its traditional medical scope. The Thai Traditional Medical Council registers practitioners and issues professional licences. Section 31 restricts practice to practitioners while specifying exceptions, including defined supervised training and other circumstances. This professional framework should be checked separately from registration to provide wellness services in a health establishment. [4][5]

Working as a foreign national

The Ministry of Labour’s notification places Thai massage in Annex List 1, item 20, which clause 2 prohibits foreigners from performing throughout Thailand. The ministry’s bilingual explanation confirms that classification. Studying massage or holding a health-establishment credential does not remove this occupational restriction. Other proposed work must be checked on its own terms; this listing is not a finding that every activity described internationally as massage has identical legal treatment. [6][7]

Practitioner and clinic requirements

Chapter XIII of the Code on Sanitation defines the licensed masseur separately from a massage-clinic attendant working under supervision. Section 62 requires the masseur’s registration certificate issued through the Department of Health’s examining committee and an up-to-date local health certificate. Section 60 separately requires the establishment to obtain a sanitary permit from the local health authority before operating. [1]

Massage Therapy and Hilot qualifications

TESDA’s Massage Therapy NC II covers developing a massage practice, client consultation, body massage and maintaining the work area. Its assessment rules require demonstration of the specified competencies before a National Certificate is awarded. Recognition of prior learning is available through competency assessment; that is an assessment route, not automatic transfer of a foreign licence. [2][4]

Hilot (Wellness Massage) NC II is a separate TESDA qualification addressing a hilot wellness programme, preparation, application of hilot techniques and advice after the service. Its title and training scope should be represented accurately. A skills qualification and the practitioner and premises requirements serve different purposes. [3][1][4]

The relevant health office

DOH’s current Cagayan Valley licensing portal provides an individual application route for massage therapists separately from facility applications. This is a regional service, not evidence that one portal or every published renewal timetable applies nationwide. Check the relevant Center for Health Development’s regulatory office for the applicable practitioner process and the local health authority for the premises permit. [5][1]