Are you contemplating a career in massage therapy? If so, understanding the difference between a Certified Massage Therapist (CMT) and a Licensed Massage Therapist (LMT) is essential when deciding which path to take. With the rising demand for skilled massage therapists, there’s never been a better time to dive into this rewarding field. In fact, according to the Bureau of Labor Statistics, the field is expected to grow by 18% – a much faster rate than the average for other professions.
A CMT, or Certified Massage Therapist, is a professional who has undergone specific training and passed examinations to earn a certification. This certification demonstrates that they possess the necessary skills and knowledge in massage therapy techniques and practices. It also indicates their commitment to adhering to the ethical and professional standards set by the certifying body, such as the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB).
A Licensed Massage Therapist (LMT) is a practitioner who has obtained a license to practice massage therapy, after meeting educational and examination requirements set by state or local governments. LMTs specialize in medical massage, addressing health conditions diagnosed by a doctor, and work in settings such as hospitals, wellness centers, or private practices.
This guide will explore the distinctions between a certified massage therapist vs licensed massage therapist, discussing their certification and licensing processes, benefits, and how to choose the right path based on your career goals and location.
We will also provide insights into the key differences in education and training requirements, legal capacity to practice, and continuing education needs. Additionally, we will discuss the implications of state regulations and how they affect the decision to become a certified massage therapist vs a licensed massage therapist.
Finally, we will delve into the industry trends in the massage therapy field and how they’re shaping the future of this profession. This guide serves as a roadmap for aspiring massage therapists, providing the necessary information to make an informed decision about your career path.
Key Takeaways
- Certified Massage Therapists (CMTs) are certified by non-governmental agencies, showcasing their specific knowledge and skills in various massage modalities.
- Licensed Massage Therapists (LMTs) meet state requirements to practice massage therapy legally. LMTs’ abilities and scope of practice can vary depending on state regulations.
- The decision between becoming a CMT or an LMT should consider factors such as individual career goals, state regulations, qualifications, and the potential need for transferring credentials between states.
- Both CMTs and LMTs need to engage in continuing education to maintain their credentials and stay updated with industry advancements.
- The massage therapy industry is witnessing increasing regulations and demand for specialized modalities, shaping the profession’s future.
What is a Certified Massage Therapist (CMT)?
A Certified Massage Therapist (CMTs) refers to professionals certified by non-governmental bodies like educational institutes or organizations such as the National Certification Board for Therapeutic Massage (NCBTMB). This certificate shows they are skilled in massage therapy and follow the rules of their profession. Certification protects the public and the profession by establishing a standard of expertise and abilities for certified massage therapists.
Distinguishing between certification and licensure is key; non-governmental agencies grant the former, while the state confers the latter. Certification allows massage therapists to showcase their skills and knowledge, setting them apart from other practitioners in the field. This distinction can be beneficial for attracting clients and establishing a successful massage therapy practice.
In some states, a massage therapy certification alone is required to practice. However, other states may require a license in addition to or instead of the certification.
Certification Process
The certification process for CMTs involves:
- Completing the required training hours at accredited massage therapy schools
- Passing the relevant examinations
- Maintaining certification through continuous education
To be eligible for CMT certification, a candidate must complete three levels of examination, which are often part of massage therapy training programs. The specific number of training hours required for CMT certification varies, but Registered Massage Therapists (RMTs) typically complete a similar number of training hours and pass a registration exam as Licensed Massage Therapists (LMTs).
To maintain CMT certification, engaging in continual education is a requirement. The specific types of continuing education required may vary depending on the certifying organization, such as the American Massage Therapy Association. Massage therapists must refer to the guidelines of the certifying organization to confirm their adherence to the requirements for maintaining certification.
Types of Certifications
Certifications available in massage therapy include state-level, modality-specific, and elective courses to further knowledge or work with specific clients. Most states require certain massage education hours from an accredited institution for a state-level massage certification.
Various modality-specific massage certifications are available, such as Swedish massage, Deep tissue massage, Sports massage, Shiatsu massage, Hot stone massage, Reflexology massage, Thai massage, Prenatal massage, Aromatherapy massage, and Myofascial release massage.
Elective courses can be taken to supplement knowledge in massage therapy, including Therapeutic Bodywork, Complimentary Healing, and specialized modalities and techniques. Considering your interests and goals while researching and selecting elective courses is crucial, given the variety of options different schools and programs offer.
Benefits of Certification
Certification offers massage therapists increased credibility, the potential to draw more clients, and the possibility to work in states that do not require licensing. Certification provides massage therapists a platform to showcase their expertise, distinguishing them from other practitioners in their field. Certification is particularly beneficial in attracting clients and establishing a successful massage therapy practice.
In addition, having a state certification in a title law state is indicative of a high level of expertise, while its absence can be a deterrent to potential clients and customers. Overall, obtaining certification is advantageous for massage therapists looking to start or grow their practice in this competitive industry.
What is a Licensed Massage Therapist (LMT)?
A Licensed Massage Therapist (LMT) is a professional who has fulfilled the state requirements of completing a certain number of training hours, passing a state exam, and paying a license and registration fee. LMTs are granted legal authorization to practice in states requiring licensing, ensuring they meet the necessary professional standards and regulations.
The state exam for LMTs typically encompasses topics such as:
- Anatomy and physiology
- Massage techniques
- Ethics
- Laws and regulations related to massage therapy
The exam, also known as the bodywork licensing exam, may be administered by the state licensing board or a national certification board, such as the National Certification Board in Therapeutic Massage and Bodywork (NCBTMB) or the Massage & Bodywork Licensing Examination (MBLEx) administered by the Federation of State Massage Therapy Boards (FSMTB).
Licensing Process
The licensing process for LMTs requires meeting state requirements, passing the MBLEx exam, and regularly completing continuing education to maintain licensure. The MBLEx is a 100-question exam governed by the Federation of State Massage Therapy Boards. It’s specifically tailored for assessing competency in massage and bodywork.
The specific training hour requirements for massage therapy licensure vary by state, with some states requiring a minimum of 500 hours of training while others may require up to 1,000 hours.
The MBLEx covers a wide range of topics, including:
- Anatomy & Physiology
- Kinesiology
- Pathology
- Contraindications
- Areas of Caution
- Special Populations
- Benefits and Physiological Effects of Techniques
- Client Assessment, Reassessment & Treatment Planning
- Ethics, Boundaries, Laws, and Regulations
- Guidelines for Professional Practice
Passing this exam demonstrates a comprehensive understanding of the massage therapy field and ensures that LMTs are equipped to provide safe and effective treatments for their clients.
State Regulations
State regulations regarding massage therapy may vary, with some states requiring licensure, others requiring certification, and a few having no regulations. To become an LMT, individuals must meet the requirements set by the state, such as completing the required number of training hours, passing the state exam, and paying the license and registration fee.
Massage therapists must familiarize themselves with the state requirements where they plan to practice to ascertain that they fulfill the necessary criteria.
California, Kansas, Minnesota, Vermont, and Wyoming are the states in the US that do not have regulations for massage therapy. In these states, massage therapists may not be required to obtain a license or certification to practice. Yet, for individuals in these states, obtaining certification or licensure can still be beneficial to validate their expertise and professionalism to clients.
Benefits of Licensure
Becoming an LMT offers several advantages, including the legal ability to practice within licensing states, enhanced credibility, and the ability to operate more freely between states. Obtaining licensure manifests a massage therapist’s dedication to upholding the state’s professional standards and regulations, attracting clients, and encouraging practice growth.
Licensure provides access to the following benefits for massage therapists:
- Continuing education opportunities to stay up-to-date with industry advancements
- Maintenance of Credentials
- Numerous career opportunities in the massage therapy field
Becoming an LMT can provide individuals with a successful career in massage therapy.
Comparing CMT and LMT: Key Differences
The primary distinctions between CMTs and LMTs include the educational and training requirements, legal capacity to practice, and continuing education needs. CMTs acquire certification from non-governmental organizations, while LMTs must satisfy particular state regulations and pass a state examination. To become a state-licensed and registered massage therapist, typically, only one test with a passing score is required while obtaining certification may necessitate multiple exams to gain specific specializations.
Another key difference is the legal ability to practice. LMTs are legally authorized to practice in states that require licensing, while CMTs may practice in non-licensing states or states that require certification. The legal distinction affects the scope of practice and the locations where a massage therapist can work, making it an important consideration when choosing between the two paths.
Education and Training Requirements
CMTs must adhere to the standards set forth by private entities, whereas LMTs must meet the requirements established by the government. The number of training hours and requirements may vary between the two paths. Registered Massage Therapists (RMTs) typically complete similar training hours and pass a registration exam as Licensed Massage Therapists.
Government requirements for LMTs generally include:
- Being at least 18 years old
- Holding a high school diploma or equivalent
- Completing a massage therapy program of a certain number of hours (which varies by state)
- Passing a licensing exam
- Adhering to any additional requirements specific to the respective state.
The amount of training hours needed for CMT certification can vary depending on the program, with certification programs generally requiring a minimum of 60 hours of classroom instruction and 8 hours of clinical practice.
Awareness of the precise requirements for each path is necessary to ensure compliance with the necessary criteria.
Legal Ability to Practice
LMTs have the legal ability to practice in states requiring licensing, ensuring they meet the necessary professional standards and regulations. Legal visibility is beneficial for attracting clients and establishing a successful massage therapy practice.
In contrast, CMTs can practice in states that do not require licensing or require certification. The legal restrictions for a CMT practicing in a state that requires licensure may differ depending on the jurisdiction, and CMTS must familiarize themselves with the particular requirements of the state where they intend to practice.
To obtain a license to practice in a licensing state, a CMT must complete a written examination and a practical exam and meet specific education and experience requirements set by the state licensing board. CMTs must refer to the specific state requirements where they plan to practice for more information.
Continuing Education
CMTs and LMTs must fulfill continuing education courses to sustain their credentials, though the requirements differ by state and organization. Continuing education is essential for maintaining the high standards of the massage therapy profession and ensuring that practitioners stay current with industry advancements. Continuing education also assists therapists in keeping up with new techniques and regulations and enhancing their abilities and understanding.
The requirements for CMTs and LMTs may differ based on the state and certifying organization, with specific continuing education hours and approved courses necessary for certification renewal. Texas Department of Licensing and Regulation, for example, requires a minimum of 12 hours of approved continuing education, while the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) mandates 24 hours.
Massage therapists should refer to the regulations of their respective state and certifying organization for the most accurate information on obtaining a massage therapy license to practice massage.
Choosing the Right Path: CMT or LMT?
When selecting between CMT and LMT, key considerations include:
- Qualifications and requirements
- Certification versus licensure
- Scope of practice
- Training and Education
- Local regulations
The decision ultimately depends on individual goals, state regulations, and the ability to transfer credentials between states. The factors above must be thoughtfully considered when determining the path that best aligns with your career aspirations and personal preferences.
Some individuals may prefer to specialize in relaxation and wellness massage in a spa or private practice setting, making a CMT certification a more suitable choice. On the other hand, if you aim to work in a medical or healthcare environment, becoming an LMT may be more appropriate due to the typically more comprehensive training and wider scope of practice.
Ultimately, the choice between CMT and LMT depends on your individual goals and the state’s specific requirements where you plan to practice.
Factors to Consider
Factors to consider when deciding between CMT and LMT include state requirements, desired work location, and specialization interests. State regulations substantially impact the decision to become a CMT or LMT, as they set the requirements and qualifications for obtaining a CMT or LMT license, including completing a massage therapy program or school and passing a licensing exam. Moreover, state regulations define the scope of practice for CMTs and LMTs, specifying the techniques and modalities they can use.
Additionally, your specialization interests should be considered when deciding between CMT and LMT. Research is advised to understand the specific requirements of the desired specialization to make an informed decision.
Pros and Cons
The pros and cons of each path in becoming a CMT or LMT depend on individual goals, state regulations, and the ability to transfer credentials between states. As a CMT, you may be able to create more flexible schedules and work in non-licensing states or states that require certification. However, the scope of practice may be more limited than LMTs, who can legally practice in licensing states and may have access to a wider range of techniques and modalities.
While becoming a CMT or LMT can entail physically demanding work, variable income, and the need for ongoing skills and knowledge through continuing education, both paths can also lead to personal satisfaction and potentially higher earnings, contingent on experience, location, and specialization.
Massage Therapy Industry Trends
The massage therapy industry is experiencing changes in:
- Regulation
- Increased demand for specialized modalities
- The necessity of continuing education to maintain credentials and remain informed of industry developments
Changing regulations can help to further the massage therapy profession and ensure clients’ well-being by establishing a standard of expertise and abilities for therapists. As a result, legal recognition and clearly defined requirements can improve outcomes and prevent market failures. Having coverage from MMIP ensures that therapists stay protected as they navigate these evolving standards, safeguarding their practice and clients.
Meet the Author:
Hannah Young
Hannah Young is the Associate Director of Marketing for Massage Magazine Insurance Plus (MMIP). Hannah has dedicated her career to the advancement of the massage therapy industry by spearheading the MASSAGE Magazine and MMIP family of brands. Her impactful efforts extend beyond the corporate realm, as Hannah has successfully raised substantial funds for massage therapist grants and foundations. Notably, she spearheaded the establishment of the annual Massage Therapist Appreciation Week, a testament to her dedication to recognizing and honoring the contributions of massage therapists.
Get Massage Insurance & Protect Your Practice From Liabilities
1-Year Professional Rate
$169
2-Year Professional Rate
$299
Save 14%
The opportunity to be insured by MMIP saved me $1,300 per year and helped make it possible to run my own Wellness Center with no liability concerns. I am so grateful to have this insurance option! My stress over insurance expense and coverage is completely gone. Thank you MMIP!
Debbie Merrick
Reiki Practitioner
In Harmony Reiki and Inner Wellness
Massage Magazine Insurance Plus gives me a very broad range of coverage for a great price. Plus MMIP's customer service team have an amazing customer service attitude. I feel totally protected in this in this new massage environment.
Gary Rosenthal
Mindbody Therapist
Whole Body Health Team
MASSAGE
State License Requirements
We want to make finding the information you need easy. That's why we've put together this easy guide to the requirements of all 50 states.