Maryland Massage Therapist License Exam

To get licensed in Maryland, massage therapists are required to take a massage exam that covers such subjects as anatomy, physiology, pathology and kinesiology.  Whether you live in Annapolis, Baltimore, or another city or county, the resources below will help you get started on the path to receive your massage license.

Need of a Massage License: A massage therapist needs a license to practice massage therapy in Maryland.

Who Grants a License:  Licenses are granted by the Maryland Board of Chiropractic and Massage Therapy Examiners.  

Qualifications to receive a License:  Maryland has two levels of certification for massage therapists, licensure and registration.

A candidate for licensure needs to complete a minimum of 60 credit hours of college courses and 500 hours from an accredited massage therapy program.  Additionally, the candidate must pass a Maryland Jurisprudence Exam and an exam given by the National Certification Commission for Acupuncture & Oriental Medicine (NCCAOM Exam).

Candidates seeking registration, not licensure, do not need to complete 60 credit hours of college courses.

Applying for the Massage Exam:   The Board requires the candidate to pass the NCCAOM Exam prior to taking the Jurisprudence Exam. 

The application to take the NCCAOM Exam can be found at NCCAOM application.  More information can be found on the NCCAOM Exam in the Certification Handbook.  Information on NCCAOM’s Asian Bodywork Therapy can be found in the ABT Certification Handbook.

Jurisprudence Exam:  Maryland requires applicants to take a Jurisprudence Exam at the Board offices. To prepare for the exam, candidates are to study the laws and regulations that govern massage therapy in Maryland.  For more information, see Jurisprudence Exam.  

Test Content:   The NCCAOM exam consists of 100 multiple-choice questions and test takers have two hours and thirty minutes to complete the computer based exam.   The exam uses an adaptive testing process, where the computer based exam determines the level of the candidate based on whether a correct answer is given to a specific question.  If a question is answered correctly, the next question is a bit more difficult.  If the answer to a question is incorrect, the next question will be a bit easier.  You are unable to return to a previous answer in the adaptive testing process.  The adaptive testing process determines a candidate’s knowledge level and a certain level must be attained to pass the exam.

The exam is divided into eight content areas:

-          Practice Management 
-          Assessment
-          Analysis and Differentiation of Syndromes/Patterns
-          Treatment Principle
-          Evaluation/Adjustment of Treatment
-          Client Education
-          Apply Treatment

How to Apply for the License:  Candidates must provide Board the following:  (1) completed application; (2) transcript of completed course of study; (3) CPR and First Aid certification and (4) verification of passage of the NCCAOM.  The documents should be sent to:

                    Maryland Board of Chiropractic and Massage Therapy Examiners
                    Massage Therapy Program
                    4201 Patterson Avenue
                    Suite 301
                    Baltimore,  MD  21215-2299

Phone: (410) 764-4738

Fees:  There are fees to apply to become a licensed massage therapist.

Who administers the Massage Tests:  The NCCAOM Exam is administered by the National Certification Commission for Acupuncture & Oriental Medicine.

License Renewal Requirements:  A massage therapist must renew their license every two years and complete at least 24 hours of continuing education in the two year time period.

Applicable Regulations:  Massage therapists in Maryland are regulated by the Maryland Code of Regulations 10.43.17 et seq.  


 For more information on licensing and exam preparation, go to’s  MBLEx Test Guide and BCETMB Test Guide.

 And take’s Massage Therapist Practice Tests:

 MBLEx Practice Test

 BCETMB Practice Test

For massage therapy exam preparation products, such as study guides, flashcards and courses, go to’s MBLEx and BCETMB listings.


Quality starts with who wrote the material.
Our practice exam writer
Charles Celeste, LMT
, is an instructor in massage therapy at Brightwood College in California.  He has also taught at Baker College and was the program director at the American Career College.  He earned his BA in exercise science from California State University and holds an MBA.  He is MBLEx certified and has been praticing massage therapy for over ten years.

Michelle MacCubbin, LMT
, is an instructor in massage therapy at Miller-Motte Technical College in South Carolina.  Prior to this position, she was an instructor and program director at the McCann School of Business and Technology in Pennsylvania.  She is MBLEx certified with over ten years of experience in the field.

Sara Rennie, LMT
, is a massage instructor at the American Massage and Bodywork Institute in Virginia.  She also tutors students to help them pass the MBLEx. She has worked in the massage industry for over ten years.

Andrew Dacres, LMT
, is an instructor in massage therapy at the Atlanta School of Massage in Georgia.  He has also taught massage therapy at the Georgia Medical Institute and at Sanford-Brown College, where he introduced an MBLEx review class for graduating students. He is an MBLEx certified massage therapist with over ten years of experience in the field.

Chanel Andrade, LMT
, was the lead massage therapy instructor at Everest College for many eyars and, as part of her program, taught an MBLEx prep module.  She has practiced massage therapy for over ten years in California.
Passing the MBLEx is one of the last steps to attain a license as a professional massage therapist in many states.  The Actual MBLEx is 100 questions with a 1 hour and 50 minute (110 minutes) time limit.  Additionally, 5 minutes is allotted for a security agreement and another 5 minutes for a brief survey for a total of 2 hours (120 minutes). 

Actual MBLEx Content Outline (source: The FSMTB Handbook):

Anatomy & Physiology 
11-13 Questions (12%)

Benefits & Physiological Effects of Techniques that Manipulate Soft Tissue
13-16 Questions (14%)

Client Assessment, Reassessment & Treatment Planning
16-18 Questions (17%)

Ethics, Boundaries, Regulations, Laws
14-17 Questions (15%)

10-12 Questions (11%)

Massage Overview & Bodywork History / Culture / Modalities
4-6 Questions (5%)

Pathology, Contraindications, Special Populations, Areas of Caution
12-15 Questions (13%)

Professional Practice Guidelines
12-15 Questions (13%)