Licensed Massage Therapist (LMT) in North Dakota
Becoming a Licensed Massage Therapist (LMT) in North Dakota involves a series of regulated steps, including completing 750 hours of training, passing a competency exam, and applying for state certification. The process typically ranges from 4 to 12 months, depending on the training schedule, and costs between $800 to $2,500. Key steps include verifying prerequisites, completing state-approved training, passing the MBLEx exam, and obtaining licensure.
Photo by David Clode on Unsplash
The career of a Licensed Massage Therapist (LMT) in North Dakota offers significant opportunities due to a robust job market and attractive salary prospects. With a median salary of $53,450 per year and a projected growth rate of 15.4% by 2034, the demand for LMTs in the state is set to outpace many other professions. Nationally, the workforce for this role includes 168,000 workers, indicating a strong and growing field. This career not only promises financial stability but also provides a fulfilling path for those interested in healthcare and personal wellness.
North Dakota presents a unique environment for massage therapists due to specific state regulations and a distinctive healthcare setting. The state requires professional licensing for massage therapists, ensuring that practitioners meet certain standards of proficiency and ethics. North Dakota's healthcare landscape, largely influenced by its rural expanses, increases the necessity for varied healthcare providers, including massage therapists, who can contribute significantly to holistic health. Major employers often seek licensed professionals who can offer specialized services, making the state an attractive location for skilled LMTs.
This guide will provide readers with detailed information on how to become a Licensed Massage Therapist in North Dakota. It covers the necessary steps to obtain licensing, the certification process, and what applicants can expect during their training and examination phases. Additionally, it offers insights into salary expectations and the job market specific to North Dakota, equipping future LMTs with the knowledge needed to start their careers effectively. By understanding these elements, aspiring massage therapists can better prepare for a successful professional life in this rewarding field.
Licensing Authority
ND Board of Massage
In North Dakota, Licensed Massage Therapists must meet specific educational, examination, and background requirements set by the ND Board of Massage. Continuing education is mandatory for license renewal.
Official Resources
North Dakota Requirements
Training Requirements
- Education
- High school diploma or equivalent
- Total Training Hours
- 750 hours
- Classroom Hours
- 450 hours
- Clinical Hours
- 300 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- CPR certification
Certification Exam
- Exam
- MBLEx (Massage & Bodywork Licensing Examination)
- Components
- Written
- Fee
- Varies by provider
How to Become a Licensed Massage Therapist in North Dakota
tuition $500-$2000, exam fee $195, background check $50, application fee $25, textbooks/supplies $30, scrubs $0-$200
Fastest Path
4 months
Typical Timeline
6-8 months
Estimated Cost
$800–$2500
Verify You Meet North Dakota's Prerequisites
Before embarking on a career as an LMT in North Dakota, ensure you meet the basic prerequisites. These include being at least 18 years old, having a high school diploma or GED, and being in good health. Visit the North Dakota Board of Massage Therapy website to download the initial application form and view detailed requirements. Processing times for verifying prerequisites typically take 1-2 days.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
North Dakota requires an FBI fingerprint background check for all LMT applicants. Schedule an appointment through Identogo for digital fingerprinting. Additionally, complete a TB test and provide proof of immunizations. Background check results typically take 2-3 weeks. Disqualifying offenses and waiver applications can be reviewed on the Board's website.
Tip
Schedule your fingerprinting appointment early to avoid delays in processing times.
Research and Choose an Approved Training Program
Select a state-approved training program that meets North Dakota's requirements of 450 classroom hours and 300 clinical hours. Visit the North Dakota Board of Massage Therapy's website to access a list of approved programs. Attending a non-approved program will result in ineligibility to sit for the licensure exam, thus wasting time and money.
Tip
Contact multiple schools to compare programs and find the best fit based on curriculum, cost, and schedule flexibility.
Enroll in and Complete Training
Once you've chosen a program, enroll and complete the required 450 classroom hours and 300 clinical hours. During training, focus on mastering techniques and understanding human anatomy, physiology, and pathology. Upon completion, obtain a transcript or certificate from the institution as proof of completion. This documentation is necessary for the exam registration.
Tip
Ensure the program provides thorough preparation for the MBLEx exam, including practice tests and review sessions.
Prepare for the Competency Exam
The required exam for LMT licensure in North Dakota is the Massage & Bodywork Licensing Examination (MBLEx). Start preparing by reviewing study materials and taking practice exams. The FSMTB offers a study guide and practice exams. Register for the exam through the FSMTB portal. It's crucial to be thoroughly prepared as the exam fee is non-refundable.
Tip
Utilize the FSMTB's official study guide and online practice exams to familiarize yourself with the exam format and question types.
Register for and Schedule the Exam
After preparing for the MBLEx, register and schedule your exam through the FSMTB website. Choose a testing center and a date that gives you ample time for last-minute review. The exam consists of 100 multiple-choice questions covering various aspects of massage therapy. You have a 2-hour time limit to complete the exam.
Tip
Choose a testing date that allows for some final review without rushing, ensuring you are as prepared as possible.
Take and Pass the Exam
On the day of the exam, arrive at the testing center early with two forms of ID and your exam confirmation. The MBLEx is computer-based and results are typically available immediately. If you fail, you can reschedule after a waiting period. Passing the exam is crucial for proceeding with your state certification application.
Tip
Ensure a good night's sleep before the exam and arrive early to avoid any last-minute stress.
Apply for State Certification/Registry
After passing the MBLEx, apply for your LMT license through the North Dakota Board of Massage Therapy. Submit your exam results, training documentation, and application fee. The processing time for your application can take up to 4 weeks. Once approved, your license details will be available on the state registry.
Tip
Double-check your application for completeness to avoid delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your LMT certification. Verify your license status on the North Dakota Board of Massage Therapy's online registry. This verification is crucial for employers and clients confirming your credentials. Typically, your license will appear in the registry within a few days of approval.
Tip
Regularly check the registry to confirm your license status and ensure all information is accurate.
Find Your First Job
With your LMT certification in hand, start your job search. Utilize online job platforms like Indeed, LinkedIn, and specialized healthcare job boards. Additionally, networking with local spas, wellness centers, and physical therapy offices can uncover unadvertised positions. Be prepared to negotiate your salary based on the going rates in your area.
Tip
Create a professional resume highlighting your training and any internships or clinical experience.
Common Mistakes to Avoid
- •Attending a training program not on the North Dakota Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
North Dakota Board of Massage Therapy Examination administered by Prometric
Written Test
Questions: 100
Time Limit: 120 minutes
Format: Multiple choice
Passing Score: 70%
- • Anatomy and Physiology: 30%
- • Kinesiology: 15%
- • Pathology, Contraindications, Areas of Caution, Special Populations: 20%
- • Benefits and Physiological Effects of Techniques: 15%
- • Client Assessment, Reassessment & Treatment Planning: 10%
- • Ethics, Boundaries, Laws, Regulations: 5%
- • Guidelines for Professional Practice: 5%
Skills Test
Skills Tested: 5
Time Per Skill: 30 minutes total
Candidates perform massage techniques on a live volunteer under examiner supervision.
What to Bring
- ✓ Government-issued photo ID
- ✓ Admission ticket
- ✓ Two No. 2 pencils
- ✓ Watch with a second hand
Do Not Bring
- ✗ Electronic devices (phones, smartwatches, calculators)
- ✗ Personal items (bags, hats)
- ✗ Food and drinks
- ✗ Study materials
Day-of Timeline
Arrive 30 minutes early. Check-in takes 15 minutes. Written test is 2 hours. 30-minute break. Skills test is 30 minutes.
Getting Your Results
Scores are available online within 4 weeks. Candidates receive an email notification with access to their results.
If You Don't Pass
Candidates can retake the exam after 30 days. The retake fee is $200. A maximum of three attempts are allowed.
Exam Strategies
- 1. Prioritize studying areas with higher percentage weights, such as Anatomy and Physiology.
- 2. During the skills test, clearly communicate with the volunteer to demonstrate proper client interaction.
- 3. Manage time efficiently in the written test, aiming to spend no more than one minute per question.
- 4. Review the practical application of massage techniques, as the skills test requires demonstration of competency in real-world scenarios.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previously attended high school or relevant institution · Varies, typically no cost for copies · 1-2 weeks
Required to prove completion of basic education
Proof of Age
State or federal identification, such as a driver's license or passport · Cost of obtaining ID if not already possessed · Varies by state for IDs; immediate for existing IDs
Must be at least 18 years old to enroll in training
Background Check
North Dakota Attorney General's website or local police department · Approximately $25 · 2-3 weeks
Required to ensure no disqualifying criminal history
Application to Massage Therapy School
Directly from the training school's website or office · Varies by school; sometimes free · Immediate
Necessary for enrollment into a certified program
2During Training
CPR Certification
American Red Cross or American Heart Association · Approximately $70 · Varies; typically one full day of training
Required by most massage therapy programs for safety compliance
TB Test Results
Local clinics or hospitals · Approximately $30 · 48-72 hours for results
Ensures the applicant does not have active tuberculosis
Progress Reports
From the massage therapy training program · No additional cost · Provided at mid-term and end of term
Tracks academic and practical skill development
3For the Exam
Exam Application
From the Federation of State Massage Therapy Boards (FSMTB) website · Varies, typically around $265
Application for the Massage & Bodywork Licensing Examination (MBLEx)
Proof of Education
From the massage therapy training program · No cost or a small fee for official transcripts
Official transcript or diploma must be submitted to FSMTB
4For Certification
MBLEx Passing Score Report
Automatically sent by FSMTB to the state board upon passing the exam · Included in exam fee
Required for licensure application
State Licensure Application
North Dakota Board of Massage Therapy website · Application fee approximately $150
Must be filled out completely and submitted with fee for licensure
Proof of Liability Insurance
Insurance providers specializing in professional liability for healthcare providers · Varies, typically around $150 per year
Required to protect against claims of malpractice or injury
After You're Certified: What's Next
Immediately after passing, verify your name on the North Dakota Board of Massage registry. Obtain your physical LMT certificate from the board, and ensure your contact details are up-to-date.
Finding Your First Job
Where to Look
- • North Dakota state job portals, industry-specific sites like AMTA Job Bank, local wellness centers' websites, and LinkedIn
Best Employers for New Grads
- • Spas, wellness centers, chiropractic offices, and hospitals. Spas often provide steady client flow but may pay less per session. Hospitals offer benefits and higher pay but require more flexible schedules and diverse skill sets.
Resume Tip: Highlight any relevant coursework, hands-on experience from clinical rotations, customer service skills, and knowledge of different massage techniques. Specify your LMT certification and any other relevant licenses.
Interview Tip: Describe your massage techniques and how they benefit clients.Discuss how you handle client consultations.Explain your approach to maintaining client confidentiality and creating a comfortable environment.
Expected First-Year Salary
In North Dakota, starting salaries for LMTs range from $35,000 to $45,000 annually, depending on location and employer.
Career Advancement Path
Certified Massage Therapist (CMT) or specialization in areas like sports or therapeutic massage
Further coursework and certifications in specialized massage techniques
Challenges to Prepare For
- • Building a client base can be slow initially. Managing physical strain from providing massages. Handling varied client expectations and maintaining professional boundaries.
Licensed Massage Therapist Salary in North Dakota
In North Dakota, Licensed Massage Therapists earn a median annual salary of $53,450, which is slightly below the national median. Hourly, the median wage is $25.70.
Entry Level
$32,240
0-1 years experience
Median Salary
$53,450
$25.7/hr · Bureau of Labor Statistics
Experienced
$75,000
5+ years experience
Compared to National Median
$55,310 national · -3.4% in North Dakota
Salary by Metro Area
Slightly above state median due to larger population and demand.
Reflects state median closely.
Slightly below state median, smaller metro area.
Salary by Employer Type
The median salary in North Dakota, although slightly below the national average, aligns fairly with the state's cost of living, which is generally lower than the national average.
Benefits & Compensation
Common benefits include health insurance, paid time off, and continuing education stipends. Some employers may offer flexible scheduling.
Salary Growth Outlook
Salary growth is expected to align with national trends in healthcare and wellness, potentially increasing with experience and specialization.
Salary Negotiation Tips
- •Research average salaries in your specific area
- •Consider the total compensation package, including benefits and flexibility
Job Market in North Dakota
In North Dakota, the Licensed Massage Therapist (LMT) job market is somewhat insulated from national trends due to unique local factors. While the national employment for LMTs is projected to grow by 15.4% from 2024 to 2034, North Dakota's growth may not align precisely due to its smaller population and rural characteristics. The state's demand for LMTs is influenced by its aging population and a growing interest in wellness services among its residents.
Top Hiring Areas
Largest urban center with more health facilities
State capital with steady healthcare demand
Top Hiring Industries
Best time to apply: Early spring and late fall
Opportunities
- Expansion into wellness programs in corporate sectors
- Partnerships with healthcare providers
Challenges
- Limited client base in rural areas
- Seasonal fluctuations in tourist areas
Training Programs in North Dakota
North Dakota offers several pathways for training as a Licensed Massage Therapist, including community colleges, vocational schools, and employer-sponsored programs.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 12 to 24 months | $4,000 to $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 6 to 12 months | $3,000 to $10,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Fargo, North Dakota
High exam pass rates and hands-on training
Online & Hybrid Options
Many schools offer hybrid formats combining online theory with in-person practical training.
How to Choose a Program
- •Check for state approval and national accreditation to ensure quality education and eligibility for licensure.
Financial Aid & Free Training
Get free Licensed Massage Therapist program info for North Dakota
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
Varies by renewal period
CE Hours
24 hours
Work requirement: None specified
CE Topics: Ethics, Techniques, Health and safety
Out-of-State Reciprocity
North Dakota offers reciprocity for massage therapists licensed in other states, subject to verification of credentials and meeting ND standards.
Requirements for Reciprocity
- Proof of current active license in another state
- Documentation of equivalent training and examination standards
State Agreements
Specific states not listed; evaluated on a case-by-case basis
Additional Exams
Possibly required depending on state of origin
Application Process
Submit a completed application with required documents and fees
Fees
Varies based on evaluation
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents are complete and accurate to avoid delays
Stay updated on continuing education requirements to ensure timely renewal
Recommended Resources
MBLEx Practice Exam
Offers a series of updated practice questions and answers designed to reflect the most current standards for the MBLEx, which is required for licensure in North Dakota.
Massage Exam Academy Practice Tests
Provides a variety of online practice tests that cover all topics found on the MBLEx, with explanations for each question to aid in understanding.
MBLEx Test Prep - Comprehensive Study Guide
This guide includes detailed information on all MBLEx content areas, practice questions, and test-taking strategies to help candidates prepare effectively.
Trail Guide to the Body
This book is widely used by massage therapy professionals and provides clear, detailed instructions on locating muscles and understanding their actions to aid in effective massage techniques.
Portable Massage Table
Essential for practical training and examinations, allowing for a professional setup anywhere.
Basic Linens Set
Includes sheets and face cradle covers; necessary for hygiene and comfort during massage sessions.
As an Amazon Associate, CredentialGuide earns from qualifying purchases.
Stay Updated
Get notified when Licensed Massage Therapist (LMT) requirements change in your state.
No spam. Unsubscribe anytime.
Find Licensed Massage Therapist Programs in North Dakota
Get free program information sent to your inbox
No spam. Unsubscribe anytime.
Frequently Asked Questions
Want to Talk to a Career Counselor?
Get personalized guidance on training programs, licensing requirements, and career opportunities in North Dakota.
Are You a Training Provider?
List your programs on CredentialGuide and connect with students actively researching training options in your area.
Sources
- Bureau of Labor StatisticsAccessed 2026-02-12
- North Dakota Licensing BoardAccessed 2026-02-12
- CareerOneStopAccessed 2026-02-12