Hawaii Massage Requirements

Hawaii massage requirements establish the educational and examination requirements for an individual to become a massage therapist in the state.  In Hawaii individuals who practice massage therapy are considered Licensed Massage Therapists and must graduate from a board approved  school and pass a board approved State examination.  A business must obtain a Massage Establishment License and hire Licensed Massage Therapists in order to offer the service of massage.  The following information is offered as an assistance to those considering a career as a massage therapist.  The information should be verified by consulting the Hawaii State Board of Massage Therapy.

Hawaii Massage Requirements

Hawaii Massage Regulatory Board

Hawaii State Board of Massage Therapy

Dept. of Commerce and Consumer Affairs
Professional and Vocational Licensing       

Attn: Massage
P.O. Box 3469
Honolulu, HI 96801

Phone  (808) 586-3000

To See the State of Hawaii Laws & Rules go to:

Hawaii State Board of Massage Therapy

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Application         $50.00
License                $25.00
Renewal              $25.00
MT Apprentice  $50

Education requirements:

570 hours from approved school

See State Board of Massage Therapy website for apprenticeship details


Hawaii State Examination

CEU Requirements:

No Continuing Education Requirements

Page last Updated June 16, 2015

The National Certification will no longer be offered as of December 31, 2016.  Those who are Nationally Certified will need to upgrade their Certification to Board Certified. Please go to NCBTMB.org for further information on Board Certification. 


Hawaii Massage Requirements Chapter 84 Massage Therapy Definitions Excerpt

§16-84-2 Definitions. As used in this chapter:

"Apprentice" means a person who has been issued a permit by the board

to learn the practice of massage under the direct supervision of a sponsoring

massage therapist;

"Board" means the state board of massage;


"Direct supervision" means the control, direction, and instruction of an

apprentice by the sponsoring massage therapist who shall be on the premises of

the establishment when the apprentice is in training and available to the apprentice

during the apprentice training period;

"Establishment" means a massage establishment;

"Massage therapist" means a person licensed to practice massage;

"Out-call massage service" means any business, which is to engage in or

carry on the practice of massage, not at a fixed location but at a location

designated by the customer, client, or service;

"Person" means an individual, partnership, or corporation;

"Principal massage therapist" means a massage therapist designated by an

establishment and an out-call massage service as the person in charge;

"Sponsoring massage therapist" means a massage therapist licensed in this

state for at least three years, employed by or registered with a licensed massage

establishment, and registered with the board as being the person responsible for

the direct supervision of an apprentice. [Eff 3/28/66; am and ren §16-84-2,

6/22/81; am and comp 4/9/82; am and comp 7/19/87; am and comp 3/26/90]

(Auth: HRS §452-6) (Imp: HRS §452-1)

Resources and References


Hawaii Massage Therapy State Examination Content Outline

Hawaii Massage Therapy Exam Content Outline

I. Laws and Rules - 10%

A. Chapter 452

B. Chapter 84

C. Chapter 11

II. Anatomy and Physiology - 50%

A. Organization of the Body

B. Cells and Tissues

C. Integumentary Systems

D. Skeletal System

E. Muscular/Skeletal/Kinesiology System

F. Circulatory/Lymphatic System

G. Nervous System

H. Endocrine System

I. Digestive System

J. Respiratory System

K. Excretory System

L. Reproductive System

III. Massage Theory - 15%

A. Basics of Massage

B. Physiological Effects

C. Manual Modalities

1. Effleurage

2. Petrissage

3. Tapotement

4. Friction

5. Vibration

6. Finger Pressure

IV. Clinical Situations - 25%

A. Contraindications and Pathology

B. Techniques for Specific Conditions

C. Sanitation/Infection Control

D. Clinical Practice

Hawaii State Board of Massage Therapy Examination Content Outline


The following references were used to create the exam but are not allowed in the exam room.

1. Hawaii Administrative Rules, Department of Health, Title 11, Chapter 11: Sanitation, Section 11-11-4, 1981, Hawaii Department of Health—Sanitation Branch, 591 Ala Moana Boulevard, Honolulu, HI 96813, www.hawaii.gov/health/environmental/ sanitation/index.html.

2. Hawaii Administrative Rules, Title 16, Chapter 84: Massage Therapy, 1990, Hawaii Department of Commerce and Consumer Affairs, 335 Merchant Street, Honolulu, HI 96813, www.hawaii.gov/dcca/pvl.

3. Hawaii Revised Statutes, Chapter 452: Massage Therapy, Hawaii Department of Commerce and Consumer Affairs, 335 Merchant Street, Honolulu, HI 96813, www.hawaii.gov/dcca/pvl.

4. The Anatomy Coloring Book, Third Edition, 2002, Benjamin Cummings/Pearson Education, 1301 Sansome Street, San Francisco, CA 94111, www.aw-bc.com.

5. The Human Body in Health and Disease, Fifth Edition, 2009, Mosby/Elsevier Publishers, 11830 Westline Industrial Drive, St. Louis, MO 63146, www.us.elsevierhealth.com.

6. Illustrated Essentials of Musculoskeletal Anatomy, Fourth Edition, 2002, Megabooks, Inc., 2937 NE 19th Drive, Gainesville, FL 32609-3348, www.anatomybook.us.

7. Mosby’s Fundamentals of Therapeutic Massage, Fourth Edition, 2008, Mosby/Elsevier Publishers, 11830 Westline Industrial Drive, St. Louis, MO 63146, www.us.elsevierhealth.com.

8. Theory and Practice of Therapeutic Massage, Fourth Edition, 2005, Milady Publishing/Thomson Learning, 10650 Toebben Drive, Independence, KY 41051, www.milady.com. Milady

Resources and References


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