Licensed Massage Therapist (LMT) in South Dakota
This guide outlines the steps to become a Licensed Massage Therapist (LMT) in South Dakota, detailing the process from meeting prerequisites to finding employment post-certification. The journey involves 500 hours of training, passing a competency exam, and obtaining state certification. The total path duration can range from 4 months to over a year, with costs varying between $2,000 and $5,000 depending on the chosen training program.
Photo by David Clode on Unsplash
Becoming a Licensed Massage Therapist (LMT) in South Dakota offers promising career prospects in a growing field. With a median salary of $46,540 per year, massage therapists in the state enjoy competitive compensation, reflective of the national median. The profession is on the rise, with an expected growth rate of 15.4% by 2034, significantly outpacing many other occupations. This growth is driven by an increasing recognition of massage therapy's health benefits and a general trend towards more personalized healthcare services.
South Dakota presents a unique environment for massage therapists due to its specific state regulations and healthcare needs. The state requires practitioners to obtain licensure, ensuring that all practicing massage therapists meet certain standards of professionalism and skill. South Dakota's rural landscape also influences the demand for healthcare services, including massage therapy, which is often integrated into broader wellness programs and services. Major healthcare providers and wellness centers are among the top employers for LMTs in the region, providing stable job opportunities.
This guide will detail the necessary steps to become a licensed massage therapist in South Dakota. It covers the critical aspects of obtaining licensure, including the required education and examinations. Readers will also find information on average salary expectations and insights into the local job market to help them gauge potential career opportunities. The guide aims to provide a clear pathway for those interested in pursuing a career in massage therapy within the state, addressing both the rewards and challenges of the profession.
Licensing Authority
South Dakota Board of Massage Therapy
In South Dakota, individuals seeking to become Licensed Massage Therapists must meet specific requirements set by the South Dakota Board of Massage Therapy. These include completing a recognized training program, passing a national examination, and undergoing a background check.
Official Resources
South Dakota Requirements
Training Requirements
- Education
- High school diploma or equivalent
- Total Training Hours
- 500 hours
- Classroom Hours
- 125 hours
- Clinical Hours
- 200 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
- Approximately $195
How to Become a Licensed Massage Therapist in South Dakota
tuition $1500-$4500, exam fee $200, background check $50, application fee $75, textbooks/supplies $100-$200, scrubs $75
Fastest Path
4 months
Typical Timeline
6-8 months
Estimated Cost
$2000–$5000
Verify You Meet South Dakota's Prerequisites
Before enrolling in a massage therapy program, verify you meet the prerequisites for licensure in South Dakota. This includes being at least 18 years old, having a high school diploma or GED, and being in good health. Visit the South Dakota Board of Massage Therapy website to download the checklist of prerequisites and ensure you meet all health and legal requirements.
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
Applicants must undergo a background check and health screenings, including a TB test. Visit a local police department for fingerprinting services, which will be submitted for a state and FBI background check. Health screenings can be completed at a local clinic. Expect results to take up to 4 weeks. Disqualifying criminal offenses may require applying for a waiver, which can be found on the state board's website.
Tip
Schedule your fingerprinting and TB test on the same day to streamline the process.
Research and Choose an Approved Training Program
Select a state-approved massage therapy training program in South Dakota. Training must include 500 total hours, with 125 classroom hours and 200 clinical hours. Visit the South 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.
Tip
Contact multiple schools to compare program details and costs before deciding.
Enroll in and Complete Training
After choosing an approved program, enroll and complete the required 500 hours of training, which includes 125 classroom hours and 200 clinical hours. Ensure the program provides documentation of completion, which is necessary for exam registration. Training duration typically ranges from 4 to 8 months depending on whether you attend full-time or part-time.
Tip
Keep a detailed log of your clinical hours as proof of completion.
Prepare for the Competency Exam
Prepare for the Massage & Bodywork Licensing Examination (MBLEx) administered by the Federation of State Massage Therapy Boards (FSMTB). The exam consists of 100 multiple-choice questions covering topics such as anatomy, physiology, and massage therapy practices. Use study materials and practice exams available on the FSMTB website. You have 2 hours to complete the exam, and a score of 75% is required to pass.
Tip
Regularly take practice exams to monitor your progress and focus on weak areas.
Register for and Schedule the Exam
Register for the MBLEx through the FSMTB website. After registration, you will receive an Authorization to Test letter, which allows you to schedule your exam at a Pearson VUE testing center. Exams are available year-round, and you can choose a date and location that are convenient for you. Ensure to schedule your exam within the validity period of your Authorization to Test.
Tip
Choose an exam date that gives you ample time to prepare but is soon enough to keep the information fresh.
Take and Pass the Exam
On the day of the exam, arrive at the Pearson VUE testing center with two forms of ID. The MBLEx consists of 100 multiple-choice questions to be completed in 2 hours. If you fail, you can reschedule after a 30-day waiting period. Passing the exam qualifies you to apply for licensure in South Dakota.
Tip
Arrive at the testing center at least 30 minutes early to complete necessary pre-exam procedures.
Apply for State Certification/Registry
After passing the MBLEx, apply for licensure with the South Dakota Board of Massage Therapy. Download and complete the licensure application from their website, including proof of education, exam results, and background check. The application fee is $75. Processing typically takes 2-4 weeks, after which you will receive your license by mail.
Tip
Double-check your application for completeness to avoid delays.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, your certification will be mailed to you, and your name will be added to the South Dakota state registry of Licensed Massage Therapists. Verify your status online at the South Dakota Board of Massage Therapy's website to ensure your information is correctly listed.
Tip
Regularly check the mail and the online registry for updates on your licensure status.
Find Your First Job
With your certification in hand, begin your job search. Utilize online job portals like Indeed and LinkedIn to find openings for Licensed Massage Therapists in South Dakota. Networking with professionals during your training can also lead to job opportunities. Prepare a professional resume highlighting your training and certification.
Tip
Attend industry networking events to meet potential employers and learn about job openings.
Common Mistakes to Avoid
- •Attending a training program not on the South Dakota Board of Massage Therapy 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
South Dakota Board of Massage Therapy Licensure Examination administered by Prometric
Written Test
Questions: 120
Time Limit: 2 hours
Format: Multiple choice
Passing Score: 75%
- • Anatomy and Physiology (30%)
- • Kinesiology (15%)
- • Pathology, Contraindications, Areas of Caution, Special Populations (15%)
- • Benefits and Physiological Effects of Techniques that Manipulate Soft Tissue (15%)
- • Client Assessment, Reassessment & Treatment Planning (10%)
- • Ethics, Boundaries, Laws, Regulations (10%)
- • Guidelines for Professional Practice (5%)
Skills Test
Skills Tested: N/A
Time Per Skill: N/A
N/A
What to Bring
- ✓ Government-issued photo ID
- ✓ Confirmation letter from Prometric
- ✓ Two No. 2 pencils
Do Not Bring
- ✗ Electronic devices (phones, smartwatches)
- ✗ Personal items (bags, hats)
- ✗ Food or drink
Day-of Timeline
Arrive 30 minutes early. Check in takes 15 minutes. Written test is 2 hours.
Getting Your Results
Results are issued via email within 2 weeks. Access detailed results through Prometric's online portal.
If You Don't Pass
Retake allowed after 30 days. Cost of retake is the same as initial exam fee. Unlimited attempts allowed.
Exam Strategies
- 1. Focus on mastering anatomy and physiology, as it constitutes a significant portion of the exam.
- 2. Practice time management during mock exams to ensure all questions are answered within the allotted 2 hours.
- 3. Read each question carefully, especially those involving case studies or practical scenarios.
- 4. Eliminate obviously incorrect answers first to improve chances when guessing.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
From the educational institution attended or relevant state education department · Varies · Varies
Required to prove completion of basic education
Proof of Age and Identity
State Department of Motor Vehicles or similar agency · Varies · Varies
Typically a government-issued ID like a driver's license or passport
Criminal Background Check
South Dakota Division of Criminal Investigation · Approximately $43.25 · 2-4 weeks
Required to ensure the safety and trustworthiness of the applicant
2During Training
Enrollment Verification
From the massage therapy school where enrolled · No cost · Immediate
Proof of enrollment in a state-approved training program
CPR Certification
American Red Cross, American Heart Association, or other approved providers · Approximately $50-$100 · Varies
Must be a hands-on course, not online only
TB Test Results
Local health clinics or hospitals · Approximately $20-$40 · 2-3 days
Test for tuberculosis, ensuring the health safety of the therapist and clients
3For the Exam
Application for Examination
South Dakota Board of Massage Therapy website · Varies
Required to register for the licensing exam
Exam Fee
Payable to the South Dakota Board of Massage Therapy or testing service · Approximately $265
Covers the cost of administering the exam
Scheduled Exam Confirmation
From the testing service via email or mail · No additional cost
Confirmation of exam date, time, and location
4For Certification
Proof of Passing the Exam
From the testing service · No additional cost
Official results from the MBLEx or other approved exam
Application for Licensure
South Dakota Board of Massage Therapy website · Approximately $75 application fee
Final step to apply for state licensure as a massage therapist
Proof of Liability Insurance
Insurance providers specializing in professional liability for health services · Varies
Required to protect against claims of malpractice or injury
After You're Certified: What's Next
Immediately after passing your LMT exam in South Dakota, verify your name on the state's Board of Massage Therapy registry. Obtain your physical license certificate by contacting the board if it's not mailed to you automatically.
Finding Your First Job
Where to Look
- • Indeed.com, MassageJobs.com, and state-specific job boards like SouthDakotaWorks.gov. Networking with local massage therapy associations can also be beneficial.
Best Employers for New Grads
- • Spas, wellness centers, chiropractic offices, and private health clinics are primary employers. Spas often provide a steady flow of clients but may pay less per session compared to private health clinics that offer higher pay but require more self-marketing.
Resume Tip: Highlight any relevant coursework and hands-on experience from your training program. Include soft skills like communication and empathy, and be sure to mention any client management or scheduling software you're familiar with.
Interview Tip: Expect to discuss why you chose massage therapy, your understanding of different massage techniques, and how you handle client care. Demonstrating knowledge of client confidentiality and comfort is crucial.
Expected First-Year Salary
In South Dakota, a new LMT can expect to earn between $30,000 and $40,000 annually, depending on location and employer.
Career Advancement Path
Certified Massage Therapist (CMT) or specialization in fields like sports or medical massage
Advanced courses in specific massage techniques or obtaining certifications like the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB)
Challenges to Prepare For
- • Building a client base can be slow initially. Managing physical strain and maintaining personal wellness while performing massages are common issues. Effective time management and self-care routines are necessary for sustainability.
Licensed Massage Therapist Salary in South Dakota
In South Dakota, the median annual salary for Licensed Massage Therapists is $46,540, which is lower than the national median. This positions South Dakota as a more affordable option for those entering the massage therapy field.
Entry Level
$32,240
0-1 years experience
Median Salary
$46,540
$22.38/hr · Bureau of Labor Statistics
Experienced
$95,700
5+ years experience
Compared to National Median
$55,310 national · -15.9% in South Dakota
Salary by Metro Area
Slightly higher than state median due to urban location.
Aligns closely with state median.
Salary by Employer Type
Given South Dakota's lower cost of living compared to many states, the median salary for LMTs can still provide a reasonable living, although it's below the national average.
Benefits & Compensation
Common benefits include flexible schedules, job autonomy, and opportunities for part-time work. Some employers may offer health insurance and paid time off.
Salary Growth Outlook
Salary growth for LMTs in South Dakota is expected to align with national trends, potentially increasing with experience, specialization, and location.
Salary Negotiation Tips
- •Highlight any specialized skills or certifications that add value to your services.
- •Research typical salaries in your specific area of South Dakota to inform your negotiations.
Job Market in South Dakota
In South Dakota, the job market for Licensed Massage Therapists (LMTs) is marked by a moderate growth trajectory, somewhat aligning with the national growth rate of 15.4% from 2024 to 2034. Factors such as an aging population seeking wellness and alternative therapies, and a growing tourism sector, particularly in regions like the Black Hills, drive this demand.
Top Hiring Areas
Largest city with a robust healthcare sector
Tourism boosts seasonal demand for wellness services
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with tourism peaks
Opportunities
- Expansion into rural areas lacking services
- Partnerships with healthcare providers
Challenges
- Seasonal fluctuations in tourist areas
- Competition from other wellness services
Training Programs in South Dakota
South 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 | $5,000 to $15,000 | Hybrid |
|
| Vocational/Trade School | 6 to 12 months | $3,000 to $10,000 | In-person |
|
| Employer-Sponsored | Variable | Free | On-the-job |
|
Top Programs
Watertown, South Dakota
High exam pass rates and job placement assistance
Online & Hybrid Options
Several hybrid options are available that combine online theory with in-person practical training.
How to Choose a Program
- •Consider program length and cost in relation to your career goals and financial situation.
Financial Aid & Free Training
Get free Licensed Massage Therapist program info for South Dakota
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$45
CE Hours
8 hours
Work requirement: None specified
CE Topics: Ethics, Techniques
Out-of-State Reciprocity
South Dakota offers reciprocity for massage therapists licensed in other states, provided they meet South Dakota's licensing standards or demonstrate equivalent qualifications.
Requirements for Reciprocity
- Proof of current active license in another state
- Completion of similar or higher education and examination requirements
State Agreements
Not specified
Additional Exams
None typically required
Application Process
Submit an application for licensure by reciprocity along with verification of licensure from the current state
Fees
$100
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents, especially proof of education and test scores, are ready before applying to streamline the process.
Stay updated on continuing education credits to ensure timely renewal.
Recommended Resources
MBLEx Test Prep
This guide offers a comprehensive review and practice questions aligned with the Massage & Bodywork Licensing Examination.
MBLEx Study Guide : MBLEx Test Prep Secrets
Provides detailed information, strategies for passing the exam, and practice tests to simulate the actual MBLEx.
Trail Guide to the Body
A detailed guide to identifying muscles and their functions, crucial for passing practical massage exams.
Mosby's Pathology for Massage Therapists
Covers pathology essentials with a focus on implications for massage practice, helping students understand contraindications and precautions.
Portable Massage Table
Essential for hands-on practice and demonstrations during training and examinations.
Set of Basic Massage Oils
Necessary for practicing various massage techniques and ensuring smooth movements on the skin.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-12
- South Dakota Licensing BoardAccessed 2026-02-12
- CareerOneStopAccessed 2026-02-12