How to get an Establishment Certificate in Nevada
Nevada licenses massage therapists statewide through the Nevada State Board of Massage Therapy.1 The board lists $0 for the initial license (Massage/structural integration establishment, 1 room)2, $25 for the initial license (2-20 rooms)2 and $50 for the initial license (More than 20 rooms)2, each a separate charge. You renew every year2.
Who issues it
Nevada State Board of Massage Therapy
Fees the board lists
Initial license fee (Massage/structural integration establishment, 1 room): $02
Initial license fee (2-20 rooms): $252
Initial license fee (More than 20 rooms): $502
Initial license fee (No-room massage establishment or reflexology establishment, 10 or fewer chairs/tables): $252
Renewal
Every year2
From another state
No reciprocity route2
On this page
- Nevada massage therapist licenses
- Rules shared by several license levels
- Who needs an Establishment Certificate
- Requirements for an Establishment Certificate
- How much an Establishment Certificate costs
- How to apply
- Renewal and continuing education
- Moving to Nevada with a license from another state
- Temporary license to practice massage therapy, reflexology or structural integration
- Massage Therapist
- Reflexologist
- Structural Integration Practitioner
- City and county rules
- Check a license or report a problem
- Laws and rules
- Rule changes since January 2024
- Common questions
- Massage therapist licenses in other states
Nevada massage therapist licenses
Nevada issues 5 massage therapist credentials. Each has its own section below; the table shows what each one covers and its headline requirements.
| License | What it covers | Training or experience | Exam | Application or license fee |
|---|---|---|---|---|
| Temporary license to practice massage therapy, reflexology or structural integration | Same practice as the full license held, but only under the supervision of a fully licensed Nevada practitioner, who is responsible for the temporary licensee's acts.3 | – | No3 | $1502 |
| Establishment Certificate (massage, reflexology or structural integration establishment) | Any premises, mobile unit or building where licensees practice; the establishment may employ only licensees and must display its certificate and every therapist's current license.1 | – | – | $02 |
| Massage Therapist | Applying a system of pressure to the muscles and soft tissues for therapeutic purposes (effleurage, petrissage, tapotement, compressions, vibration, friction and manual movements, with or without heat, cold, water or lubricants); excludes diagnosis and joint/spinal adjustment, mobilisation or manipulation.3 | – | Yes3 | $1004 |
| Reflexologist | Applying a system of pressure to the feet, ears, face and hands.3 | Training 200 clock hours5 | Yes3 | $1004 |
| Structural Integration Practitioner | Manual therapy, movement education and embodiment education aimed at improving how body parts relate to each other under gravity; excludes physical therapy, chiropractic and naprapathy.3 | Training 730 clock hours5 | Yes3 | $1004 |
Rules shared by several license levels
These rules are the same for several of the Nevada massage therapist licenses on this page, so they are shown once here, with the licenses they apply to. Each license's own section lists only what differs.
1. Every license level except Establishment Certificate (massage, reflexology or structural integration establishment)
From another state
2. Every license level except Establishment Certificate (massage, reflexology or structural integration establishment) and Temporary license to practice massage therapy, reflexology or structural integration
Requirements
- Minimum age
- 18 years old3
- Background check
- Background check required6
Fingerprints required6
The Board investigates character, arrest and conviction records and pending litigation; it may license an applicant and immediately place them on probation (e.g. no outcall or mobile massage, ethics course).3
You can ask the board to review your record before you apply2 - Social Security number
- Social Security number required on the application (child-support statute); applicants also send a copy of their Social Security card.3
- Business requirements
- Working at a fixed location requires that location to hold a Board establishment certificate.7
- Also required
- Passport-quality 2"x2" color photo with a white background; official transcripts sent by the school; diploma/certificate of completion; exam score report sent by the testing agency.4
Fees
| Fee | Amount | Paid to | Notes |
|---|---|---|---|
| Application fee | $1004 | Nevada State Board of Massage Therapy | For an application for a license: submitted through the Internet website of the Board. Online application. Not refundable. Effective September 24, 2026 |
| Application fee | $1304 | Nevada State Board of Massage Therapy | For an application for a license: submitted by paper copy. Paper application. Not refundable. Effective September 24, 2026 |
| Initial license fee | $2954 | Nevada State Board of Massage Therapy | For issuing a license as a massage therapist, a reflexologist or a structural integration practitioner. Not refundable |
| Fingerprint and state background check | $854 | Nevada State Board of Massage Therapy | Not refundable |
| Duplicate or replacement license | $502 | Nevada State Board of Massage Therapy | Not refundable |
| For restoring an inactive license | $2957 | Nevada State Board of Massage Therapy | Reactivating an inactive license within 2 years. Not refundable |
Some lines are combined figures, or parts of one; do not add the lines up.
The board's pages we cite do not list the exam fee.
How to apply
- Apply online through the Board portal ($480: $100 application + $295 license + $85 background), or request a paper application ($510, cashier's check or money order). Upload ID, Social Security card, photo, diploma, and have transcripts and exam scores sent directly.4 online.nvmassagebd.com4
- If you hold or held a license elsewhere, have each state complete the Certified Statement from State Licensing Authority.4
- After the Board accepts the application it sends a Live Scan voucher or fingerprint cards; get fingerprinted (results can take 30 days or more).4
- The Board issues the license 10-15 business days after it has everything and a clean background result; display the original license where you work.4
- Processing time
- Board review up to 15 business days after a complete application; license issued 10-15 business days after all documents and clean background results; overall 1-3 months.4
Renewal
- How often
- Every 2 years3
- Renewal fee
- $2957 (Online renewal every 2 years)
- Continuing education
- At least 6 hours each renewal period8
- Required topics
- 2 hours on human trafficking at the first renewal; 2 hours of ethics (reporting requirements, HIPAA, standards of conduct, human trafficking) at each later renewal; the other 4 hours must relate to the license held.8
- Approved courses
- CE must come from NCCA-accredited or (for massage) NCBTMB-approved providers, Board-recognized schools, or Board-approved instructors; the Board FAQ also lists AMTA, ABMP, FSMTB and NSBMT approval. Board-meeting attendance and presenting count for at most 4 hours each per renewal period.7
- Late renewal
- Renewal fee: $3257 (paper renewal (must be requested by phone))
- If it expires
- An expired license can be restored within 2 years: renewal form, current photo, 6 CE hours, the late fee ($25 per expired month, up to $500) and, by statute, the renewal fee for each year the license was expired; after 2 years you must apply again as a new applicant.7
Inactive status: request in writing while current; no renewal fee accrues; reactivate within 2 years by paying the $295 renewal fee, or re-apply.3
Excess CE hours no longer roll over to the next renewal; the Board performs random CE audits and licensees keep CE records for 4 years.8 - Renew online
- online.nvmassagebd.com8
From another state
- Route
- Exam waiver
- What the board says
- Credential review for applicants who do not meet the normal requirements: at least 3 years of legal practice in another U.S. jurisdiction, official transcripts showing the minimum hours, and a Board-approved national exam.93
- Conditions
- Must still pass a Board-approved nationally recognized examination.3
Military service members, veterans and spouses: Active-duty service members, their spouses, veterans and surviving spouses holding a valid out-of-state license can get an expedited license by endorsement (decision within 45 days of a complete file, or 10 days after the fingerprint report) and may get a provisional license; the Board may charge no more than half the initial issuance fee.3
Who needs an Establishment Certificate
Any premises, mobile unit or building where licensees practice; the establishment may employ only licensees and must display its certificate and every therapist's current license.1
Requirements for an Establishment Certificate
- Background check
- Owners list all arrests and convictions and any revoked/suspended/denied business or massage licenses; the Board may refuse or discipline for crimes involving violence, prostitution, larceny, controlled substances or moral turpitude, or for pandering/trafficking citations.10
- Business requirements
- Application must include a copy of the Nevada (Secretary of State) business license and any local business license.10
- Also required
- Certificate is not transferable; display it with the current licenses of all therapists.2
How much an Establishment Certificate costs
| Fee | Amount | Paid to | Notes |
|---|---|---|---|
| Initial license fee | $02 | Nevada State Board of Massage Therapy | Massage/structural integration establishment, 1 room. Not refundable. Effective September 24, 2026 |
| Initial license fee | $252 | Nevada State Board of Massage Therapy | 2-20 rooms. Not refundable. Effective September 24, 2026 |
| Initial license fee | $502 | Nevada State Board of Massage Therapy | More than 20 rooms. Not refundable. Effective September 24, 2026 |
| Initial license fee | $252 | Nevada State Board of Massage Therapy | No-room massage establishment or reflexology establishment, 10 or fewer chairs/tables. Not refundable. Effective September 24, 2026 |
| Initial license fee | $502 | Nevada State Board of Massage Therapy | No-room massage or reflexology establishment, more than 10 chairs/tables. Not refundable. Effective September 24, 2026 |
| Duplicate or replacement license | $252 | Nevada State Board of Massage Therapy | For reissuance of a certificate for a massage establishment, reflexology establishment or structural integration establishment. Not refundable |
Each line is a separate charge as the board lists it. The board does not publish a combined total, so none is shown here.
How to apply
- Get your Nevada state business license and the city or county business license for the location.10
- Complete the NSBMT Establishment Certificate Application (rev. 9/28/2026), noting the number of rooms or chairs/tables, and email it with the documents to the Board (ask to be invoiced for card payment) or mail it with a money order or cashier's check.10 Form (PDF, massagetherapy.nv.gov)1
- Renew every year; employ only Nevada licensees and display the certificate and their licenses.2
- Processing time
- 10 to 15 business days.10
Renewal and continuing education
- How often
- Every year2
- When it expires
- Valid 1 year from the first day of the month after issue or renewal.2
Renewal planner
Enter the expiration date printed on your Nevada Establishment Certificate (massage, reflexology or structural integration establishment). The count is worked out on your device from today's date; nothing is sent anywhere.
Moving to Nevada with a license from another state
These are the routes the Nevada State Board of Massage Therapy publishes for the Establishment Certificate. The other massage therapist licenses have their own routes in their sections below.
- Route
- No reciprocity
- What the board says
- Certificates are site-specific and not transferable; no reciprocity applies.2
Temporary license to practice massage therapy, reflexology or structural integration
Same practice as the full license held, but only under the supervision of a fully licensed Nevada practitioner, who is responsible for the temporary licensee's acts.3
Requirements
- Experience
- Must hold an active out-of-state license in good standing.3
- Exam
- Not required3
- Also required
- Application must include copies of each active license, a list of every jurisdiction ever licensed, certified statements of no discipline from each, and the name and license number of the Nevada supervisor who agreed to supervise.2
Fees
| Fee | Amount | Paid to | Notes |
|---|---|---|---|
| Initial license fee | $1502 | Nevada State Board of Massage Therapy | Not refundable. Effective September 24, 2026 |
How to apply
- Find a fully licensed Nevada massage therapist, reflexologist or structural integration practitioner who agrees to supervise you.2
- Contact the Board for the temporary license application (no online form is posted) and send it with your licenses, certified statements and the $150 fee.6
Renewal
- How often
- Every 90 days3
- When it expires
- Expires 90 days after issue and cannot be renewed; a new one may be sought no sooner than 3 months after the last one expired.3
More rules for this license are shared with other levels: group 1 under Rules shared by several license levels.
Massage Therapist
Applying a system of pressure to the muscles and soft tissues for therapeutic purposes (effleurage, petrissage, tapotement, compressions, vibration, friction and manual movements, with or without heat, cold, water or lubricants); excludes diagnosis and joint/spinal adjustment, mobilisation or manipulation.3
Requirements
How to apply
- Complete a Board-recognized massage therapy program (625 hours per the Board; CPE-approved or public-college programs qualify), in person.9
- Pass the NCETMB, NCETM, NESL or MBLEx and have the score report sent directly to the Board.4
From another state
- Route
- License by endorsement
- What the board says
- Holders of a current license from a state whose requirements the Board finds substantially equivalent can be licensed without meeting the standard Nevada route; they still apply, pay the same fees and are fingerprinted.3
- States on Nevada's list
- Alabama, Alaska, Arizona, Colorado, Connecticut, Delaware, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Utah, Washington, West Virginia and Wisconsin11
This is the list of states whose licenses Nevada accepts for this route. It does not say those states accept a Nevada license. - Conditions
- Certified statement from every jurisdiction where licensed in the past 10 years confirming no discipline and none pending, plus a notarised statement on discipline and on arrests/convictions for violence, prostitution or sexual offenses in the past 10 years.3
- Fee
- $4804
- Route
- Interstate compact privilege
- What the board says
- Nevada was the first state to enact the Interstate Massage Compact (SB 161, 2023; NRS 640C.650), but the compact is not yet operational, so no compact privileges can be used yet.12
More rules for this license are shared with other levels: group 1 and group 2 under Rules shared by several license levels.
Reflexologist
Applying a system of pressure to the feet, ears, face and hands.3
Requirements
- Education or training
- At least 200 clock hours5
The board's words
“if the program requires its pupils to complete a minimum of 200 hours of instruction in the following courses before receiving a certificate evidencing successful completion of the program:”
Who may teach it: Programs approved by the Nevada Commission on Postsecondary Education or offered by a public college are recognized; the Board may recognize others.3 - Exam
- ARCB, IIR or ITEC reflexology certification exam, or NCBTMB Board Certification (BCETMB)5
Given by: American Reflexology Certification Board, International Institute of Reflexology, International Therapy Examination Council, or NCBTMB5 - Also required
- Reflexology clients must remain fully clothed except for part of the legs and feet.5
How to apply
- Complete a 200-hour reflexology program recognized by the Board (in person).4
- Pass the ARCB, IIR, ITEC or BCETMB exam and have the score report sent directly to the Board.4
From another state
- Route
- License by endorsement
- What the board says
- Holders of a current license from a state whose requirements the Board finds substantially equivalent can be licensed without meeting the standard Nevada route; they still apply, pay the same fees and are fingerprinted.3
- States on Nevada's list
- Tennessee and Washington11
This is the list of states whose licenses Nevada accepts for this route. It does not say those states accept a Nevada license. - Conditions
- Certified statement from every jurisdiction where licensed in the past 10 years confirming no discipline and none pending, plus a notarised statement on discipline and on arrests/convictions for violence, prostitution or sexual offenses in the past 10 years.3
Substantial equivalence is judged on education hours: at least 600 hours for massage therapy, 200 hours (or an ITEC reflexology diploma) for reflexology, 730 hours for structural integration; long-standing licensees from before Nevada's grandfather cut-off are treated as equivalent.2 - Fee
- $4804
More rules for this license are shared with other levels: group 1 and group 2 under Rules shared by several license levels.
Structural Integration Practitioner
Manual therapy, movement education and embodiment education aimed at improving how body parts relate to each other under gravity; excludes physical therapy, chiropractic and naprapathy.3
Requirements
- Education or training
- At least 730 clock hours5
The board's words
“if the program requires its pupils to complete a minimum of 730 hours of instruction in the following courses before receiving a certificate evidencing successful completion of the program:”
Who may teach it: Programs approved by the Nevada Commission on Postsecondary Education or offered by a public college are recognized; the Board may recognize others.3
How to apply
- Complete a 730-hour structural integration program recognized by the Board (in person).4
- Pass the CESI exam and have the score report sent directly to the Board.4
From another state
- Route
- License by endorsement
- What the board says
- Holders of a current license from a state whose requirements the Board finds substantially equivalent can be licensed without meeting the standard Nevada route; they still apply, pay the same fees and are fingerprinted.3
- Conditions
- Certified statement from every jurisdiction where licensed in the past 10 years confirming no discipline and none pending, plus a notarised statement on discipline and on arrests/convictions for violence, prostitution or sexual offenses in the past 10 years.3
- Fee
- $4804
More rules for this license are shared with other levels: group 1 and group 2 under Rules shared by several license levels.
City and county rules
Establishment Certificate (massage, reflexology or structural integration establishment)Cities and counties share jurisdiction over massage establishments and may impose stricter rules; a local business license is a prerequisite for the Board certificate.3
Massage TherapistState law preempts local licensing of individual massage therapists, reflexologists and structural integration practitioners; local governments may still require a general business license and have concurrent jurisdiction over massage establishments, including stricter rules.3
Check a license or report a problem
Before you hire a massage therapist in Nevada, you can confirm the license is current on the board's own search. Every board we cover in Nevada is on the Nevada license lookup page.
- Look up a license
- online.nvmassagebd.com13
- File a complaint
- massagetherapy.nv.gov13
Laws and rules
The requirements above come from these laws and board rules.
Rule changes since January 2024
- September 24, 2026: R137-26 collapsed the room tiers (2-7 $15 / 8-20 $25 / 21-40 $35 / 40+ $50) into 2-20 rooms $25 and more than 20 rooms $50, raised the chair/table tiers from $20/$40 to $25/$50, and dropped the services list and entrance photo from the application.2
- September 24, 2026: R137-26 set the temporary license application requirements and cut the fee from $250 to $150. The older 90-day temporary licenses for new graduates (NRS 640C.590/.610) were repealed in 2025.3
- December 18, 2025: R028-25: draping rule extended to structural integration practitioners; breast massage allowed only for a therapeutic/medical purpose with written consent and 48 hours of in-person CE.14
Common questions
Can I transfer my massage therapist license to Nevada?
Certificates are site-specific and not transferable; no reciprocity applies.2 Conditions and forms.
How often do you renew an Establishment Certificate in Nevada?
Every year2.
Massage therapist licenses in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- New Hampshire
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Virginia
- Washington
- West Virginia
- Wisconsin
Sources
Every number and rule above links to one of these official pages. Select a footnote number to read the board's own words.
- EstablishmentsNevada State Board of Massage TherapyDated November 4, 2026Checked November 7, 2026
- Approved Regulation of the Board of Massage Therapy, LCB File No. R137-26Nevada Legislature (Legislative Counsel Bureau), Nevada RegisterDated September 24, 2026Checked November 8, 2026
- NRS Chapter 640C - Massage TherapyNevada Legislature (Legislative Counsel Bureau)Dated April 15, 2026Checked November 8, 2026
- How to Apply for a LicenseNevada State Board of Massage TherapyDated June 30, 2026Checked November 8, 2026
- NAC Chapter 640C - Massage TherapistsNevada Legislature (Legislative Counsel Bureau)Dated April 13, 2026Checked November 7, 2026
- Applicants FAQsNevada State Board of Massage TherapyDated June 30, 2026Checked November 8, 2026
- Licensee FAQsNevada State Board of Massage TherapyDated October 6, 2026Checked November 8, 2026
- LicenseesNevada State Board of Massage TherapyDated October 19, 2026Checked November 7, 2026
- ApplicantsNevada State Board of Massage TherapyDated November 4, 2026Checked November 8, 2026
- NSBMT Establishment Certificate ApplicationNevada State Board of Massage TherapyDated September 28, 2026Checked November 8, 2026
- Substantially Equivalent Jurisdictions effective October 28, 2026Nevada State Board of Massage TherapyDated October 28, 2026Checked November 7, 2026
- Interstate Massage Compact (IMpact)Nevada State Board of Massage TherapyDated June 29, 2026Checked November 7, 2026
- Board of Massage Therapy homeNevada State Board of Massage TherapyDated August 26, 2026Checked November 7, 2026
- Approved Regulation of the Board of Massage Therapy, LCB File No. R028-25Nevada Legislature (Legislative Counsel Bureau), Nevada RegisterDated December 18, 2025Checked November 7, 2026