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Missouri massage licensing record

Missouri generally requires a Board of Therapeutic Massage license to practice massage therapy. The current operational rule requires 625 hours of supervised instruction or a Board-approved apprenticeship, an approved examination, fingerprint-based background review, and the state application. Section 324.265 still states 500 hours, so applicants should confirm which current Board pathway applies.

Statewide requirements and local regulation are identified separately. This record is general information, not legal advice.

Missouri Board of Therapeutic Massage

State licensing guide

State massage therapist license required

Last verified 2026-07-29 · next review 2026-08-29

Missouri statute broadly preempts local licensing and regulation of massage therapists and massage businesses while preserving zoning, local health, occupational-tax, and generally applicable local authority.

Details worth confirming

Requirements can change, and some official materials differ on narrow details. Use the current official instructions when applying or renewing.

Missouri's statute and current rule state different education totals

Section 324.265 says 500 hours, while the current Board rule requires 625 supervised hours or a Board-approved apprenticeship. Follow the Board's current application instructions and confirm the pathway that applies before enrolling or applying.

Missouri Board of Therapeutic Massage

Visit the official authority

Local business, facility, zoning, and professional rules may apply in addition to statewide requirements. Confirm current requirements with the responsible authority before acting.

Education, examination, and application

Credential
Licensed Massage Therapist
Minimum education
625 hours
Approved education
The current Board rule requires at least 625 supervised clock hours through an approved massage therapy program or a Board-approved apprenticeship. The rule retains subject minimums of 300 hours in massage theory and practice, 100 in anatomy and physiology, 50 in business, ethics, hygiene, and Missouri law, and 50 in ancillary therapies, with remaining hours allocated among approved subjects. Section 324.265 still states 500 hours; follow the Board's current application instructions and confirm which pathway applies.
Examination
The current rule recognizes MBLEx and specified legacy national examinations, plus another examination the board determines equivalent.
MBLEx relationship
MBLEx is accepted but is not the only examination named in the current rule.
Application
Submit the board application, fee, education and examination evidence, disclosures, and fingerprint-based state and federal criminal-history records.
Application fees
The board rule and current application list a $125 application fee. Fingerprint-vendor charges are separate and vendor-set.
Background check or fingerprinting
Applicants submit fingerprints for Missouri and FBI criminal-history review; the fingerprint-vendor fee is separate.
Reciprocity or endorsement
An applicant licensed in another jurisdiction may qualify when that jurisdiction's requirements are substantially the same; otherwise the applicant must satisfy Missouri's current requirements.
Additional requirements
Current application instructions require professional liability insurance. Distance, correspondence, or electronic education counts only when board approved.

Renewal and continuing education

Cycle
Missouri massage therapist licenses operate on a two-year renewal period.
Deadline model
Renew through the board process by the license expiration date; late renewal and reinstatement windows apply after expiration.
Fees
The current rule lists a $100 renewal fee, $50 fee for renewal 1–30 days late, $100 reinstatement fee for 31 days through two years, and a separate $50 late-CE fee.
Continuing education
A licensee completes 12 hours of board-recognized continuing education during each two-year license period.
Required subjects
No universal topic-specific CE allocation was identified in the reviewed current rule; course and provider eligibility remain subject to board standards.
Documentation
Licensees retain CE documentation for four years and provide it when requested.
Carryover
No carryover authorization was identified in the reviewed current rule.
Late renewal
A CE deficiency may be cured within 30 days subject to the late-CE fee; reinstatement remains available for up to two years after expiration under the rule.
Inactive license
No general inactive-license pathway was established in the reviewed current therapist rule.

Scope, titles, and local requirements

Scope of practice
Missouri statutes and board rules define and regulate massage therapy practice.
Protected titles
The regulated credential is Licensed Massage Therapist, and unlicensed practice is prohibited except where a statutory exemption applies.
Restrictions
Licensees must follow professional conduct, sanitation, recordkeeping, and insurance standards in the board rules.
Municipal or local requirements
State law preempts local licensing and regulation of massage therapists and massage businesses but preserves zoning, local health, occupational-license taxes, and generally applicable regulation.
Establishments and other regulated activities
Massage businesses are separately licensed and subject to general-liability, inspection, and operating requirements.
Practitioner notes
Confirm the current board rule, fee schedule, insurance evidence, and the unresolved 500-versus-625-hour conflict before applying.

Official record evidence

Public record revisions

Future verified changes will be listed from this Git-backed record.