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Massage License Requirements in Washington

Verified against Washington State Department of Health, Health Systems Quality Assurance — Board of Massage Therapy · 2026-07-25 · verified by agent

Washington's 625-hour training requirement is sourced from WAC 246-830-475 — Continuing Education Requirements, verified 2026-07-25. Its required exam — MBLEx (Massage & Bodywork Licensing Examination) — comes from the same source.

Compiled and verified against primary state-board sources by GetMassageLicense — cite-or-deny, with no invented figures. How we source & verify →

Washington requires a massage therapist credential from the Department of Health before anyone may practice massage therapy, overseen by an advisory Board of Massage Therapy. Applicants complete a minimum 625-hour board-approved program and pass a national competency exam (MBLEx or NCBTMB) plus a Washington jurisprudence exam. Licenses renew annually and require 24 hours of continuing education every 2 years.

Washington Massage License Requirements

Licensing AuthorityWashington State Department of Health, Health Systems Quality Assurance — Board of Massage Therapy
TitleMassage Therapist
Training Hours625 hours — Board-approved massage school, massage program, transfer program, or apprenticeship program, completed in no fewer than 24 weeks
ExamMBLEx (Massage & Bodywork Licensing Examination) (Federation of State Massage Therapy Boards (FSMTB))
Alternatives accepted: NCBTMB (National Certification Board for Therapeutic Massage & Bodywork) examination
Renewal Period1 year

Fee Breakdown

Initial License Fee$210
Renewal Fee (every 1 year)$150

Related & additional fees

Separate or situational costs — not part of the standard initial application.

HEAL-WA online access fee (charged with initial and renewal)$16
Late renewal penalty$75
Intraoral massage endorsement$25

Continuing Education

24 hours every 2 years, including 4 ethics hours.

WAC 246-830-475 requires 24 hours of continuing education every 2 years, with mandatory minimums within that total: at least 8 hours of in-person, direct-application massage therapy instruction; at least 4 hours covering professional ethics, client/patient communication, professional roles and boundaries, OR Washington state massage laws and rules (up to 2 of these 4 hours may be satisfied by attending board meetings); and at least 2 hours of health equity continuing education. ethicsHours is recorded as 4 to reflect this mandatory minimum, though the category is shared with communication/boundaries/law topics rather than being ethics-exclusive.

Starting your own practice in Washington?

Working for yourself usually means a business entity. An LLC keeps your personal assets separate from the practice and is the name your business bank account, lease and liability policy go under. Northwest forms it and acts as your registered agent in Washington — a flat fee, no upsell funnel.

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Licensure by Endorsement

Available to applicants holding an active, unrestricted massage therapy license in another jurisdiction with substantially equivalent education: either 625+ hours completed in 24+ weeks, or 500+ hours plus 2 years of licensed experience and 24 hours of continuing education completed within the prior 2 years.

Data last verified: 2026-07-25 (verified by: agent) | Source: WAC 246-830-475 — Continuing Education Requirements