How to Start a Massage Therapy Business

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Our guide on starting a massage therapy business covers all the essential information to help you decide if this business is a good match for you. Learn about the day-to-day activities of a massage therapy business owner, the typical target market, growth potential, startup costs, legal considerations, and more!

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Start a massage therapy business by following these 9 steps:

You have found the perfect business idea, and now you are ready to take the next step. There is more to starting a business than just registering it with the state. We have put together this simple step guide to starting your massage therapy business. These steps will ensure that your new business is well planned out, registered properly and legally compliant.

STEP 1: Plan your Business

A clear plan is essential for success as an entrepreneur. It will help you map out the specifics of your business and discover some unknowns. A few important topics to consider are:

  • What are the initial costs?
  • Who is your target market?
  • How long it will take you to break even?
  • What will you name your business?

Luckily we have done a lot of this research for you. Skip on ahead to the Business Overview for more detailed answers to all your questions.

Choosing the right name is very important. We recommend checking if the business name you choose is available as a web domain and securing it early so no one else can take it.

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STEP 2: Form a legal entity

Establishing a legal business entity such as an LLC prevents you from being personally liable if your massage therapy business is sued. Consider using a registered agent service to help protect your privacy and stay compliant.

STEP 3: Register for taxes

You will need to register for a variety of state and federal taxes before you can open for business.

STEP 4: Open a business bank account

Using dedicated business banking and credit accounts is essential for personal asset protection.

When your personal and business accounts are mixed, your personal assets (your home, car, and other valuables) are at risk in the event your business is sued. In business law, this is referred to as piercing your corporate veil.

STEP 5: Set up business accounting

Recording your various expenses and sources of income is critical to understanding the financial performance of your business. Keeping accurate and detailed accounts also greatly simplifies your annual tax filing.

STEP 6: Obtain necessary permits and licenses

Failure to acquire necessary permits and licenses can result in hefty fines, or even cause your business to be shut down.

STEP 7: Get Business Insurance

Insurance is highly recommended for all business owners. If you hire employees, workers compensation insurance may be a legal requirement in your state.

STEP 8: Define your brand.

Your brand is what your company stands for, as well as how your business is perceived by the public. A strong brand will help your business stand out from competitors.

STEP 9: Establish your Web Presence

A business website allows customers to learn more about your company and the products or services you offer. You can also use social media to attract new clients or customers.

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Select your state below for an in-depth guide on completing each of these steps in your home state.

Business Overview

The first step to starting a Massage Therapy Business is getting certified. Most states regulate massage therapy so that some form of certification is required to become a massage therapist. Next, you will need to decide how you wish to market your establishment. Do you want to focus more on injury recovery or stress relief? Will you be paid directly by clients or through insurance plans? Lastly, you must acquire a base of loyal clients.

Who is this business right for?

This business is perfect for those who feel that they are blessed with the power to heal others with their touch, as massage therapists spend their days using their hands to alleviate the physical, mental, and emotional stressors of others. While it can be taxing on the body, the rewards come back ten-fold. Opening your own massage studio will only fuel that ardor for healing clients in both mind and body.

What happens during a typical day at a massage therapy business?

As an entrepreneur, your daily tasks will extend beyond massage. Clients must be scheduled and payments processed. There will be sheets to launder, client notes to complete, and product orders to place.

What is the target market?

As a massage therapist, you have a distinct advantage over many business owners - you offer a service everyone values. The ideal client for your business is dedicated to holistic healing and will help spread the word about how your services stand out above the rest.

How does a massage therapy business make money?

Will your business be geared more towards offering a relaxing retreat or one where your clients come to get relief from chronic pain? As the owner of a massage therapy business, you have the unique opportunity to heal, and make a great living doing it.

While you can offer treatment packages, most massage companies bill per session. Those who accept insurance simply collect the insured’s co-payment and bill the rest directly to the insurance company. Should you choose not go the insurance route, offer your customers a little relief by accepting credit card payments for your services. Shelling out $60-100 per session is a luxury; do what it takes to keep those clients coming back month after month.

Additionally, some entrepreneurs offer more than just their services, profiting from offering goods such as Biofreeze, essential oils, books, and CDs. If you choose this avenue, just remember, there’s nothing worse than leaving a massage, only to be bombarded with someone wanting more money.

What is the growth potential for a massage therapy business?

Due to the intimate nature of the business, most massage therapy business owners choose to keep their companies on a smaller, more local level. However, if your vision is to expand to have multiple locations (and employees) across the city, there is nothing preventing you from finding large-scale success.

What are some skills and experiences that will help you build a successful massage therapy business?

While healing hands and a gentle heart are the most critical skills you must possess, obtaining your National Certification should be a consideration. They offer a number of specialty certifications that will enhance your career and your Board Certification credentials will put you a step above the rest.

It’s also critical that therapists consistently seek out new healing practices through continuing education. Aside from fulfilling your continuing ed requirements, you stand to learn from and network with the industry’s leading professionals. Therapists can attend CE classes through their local massage schools or travel for national and international courses. The NCBTMB’s website is a great resource for finding CE classes, as they maintain an updated list of available courses on their website at all times.

What are the costs involved in opening a massage therapy business?

There are a number of investments you’ll need to make before opening your doors. First, you’ll need a work space. Rent can run anywhere from $750/month to thousands, depending upon location and size of the space you need. Most landlords require first and last month’s rent as a deposit, so plan on budgeting for at least two months.

Hopefully, you already have a massage table and bolsters, but if you don’t, now is the time to buy. It’s not necessary to purchase the most expensive table, which could cost upwards of $900; but you will want to invest in a solid, quality table, an investment of at least $300. If you plan on offering standard massages, you’ll also need to purchase a few bolsters and wedges, which will run you another $150. When you start to offer more specialized massages, like pregnancy massage, you’ll want to save up for additional bolsters, setting you back another $250.

Your customers will need clean sheets and a blanket to keep them warm during their session. To avoid hours of laundry every day, most therapists purchase several days worth of sheets. At $35 per set, this can easily be one of your largest initial expenses.

Many massage therapists offer special services, such as hot stone massages and essential oils. Consider the services you plan to offer and invest accordingly. Large bottles of lotion cost over $250, so if you’re not 100% sure which product you love, opt for the smaller bottles until you’ve made your final decision.

To help reduce rent, many massage therapy entrepreneurs choose to share their workspace with chiropractors or physical therapists. This not only reduces monthly overhead costs, it ensures a steady flow of clients through an ongoing referral program.

Lastly, don’t be tempted to forego purchasing an insurance policy. You’ll hopefully have a steady flow of customers coming into your facility; don’t put your business at greater risk by going uninsured. While your premium will be fairly inexpensive, cost is dependent upon the city and state you live in, location within the city, size of the business, and your experience level.

Read our massage therapy business purchasing guide to learn about the materials and equipment you'll need to start a massage therapy business, how much to budget, and where to make purchases.

Where can I find a business mentor?

One of the greatest resources an entrepreneur can have is quality mentorship. As you start planning your business, connect with a free business resource near you to get the help you need.

Having a support network in place to turn to during tough times is a major factor of success for new business owners.

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Growing Your Business

How to promote & market a massage therapy business

While word of mouth will be your greatest marketing tool, there are other things you can do. Build relationships with the medical professionals in your community. Many will refer clients to you and allow you to put your literature at their front desk.

No matter what route you take for your massage business, social media is the most affordable way to share information that specifically targets your demographic.

Recommended: Get started with local advertising for your business with a $300 credit from Yelp.

How to keep customers coming back

Aside from a marketing strategy, your best way to attract and retain clients is through your healing skills and affordable pricing. If your customer walks out of the facility feeling refreshed, they’ll not only come back, they will tell everyone they know.

How and when to build a team

Whether you decide to have a staff of therapists or run your office solo, you’ll want to hire an accountant for bookkeeping. As the business grows, you’ll want to hire someone to perform the office duties you don’t have time for. You could hire an assistant for minimum wage or participate in your state’s apprenticeship program, where the individual obtains their license at the end of the program.

Legal Considerations

State & Local Business Licensing Requirements

Most states regulate massage therapy, requiring some form of certification in the form of licenses or diplomas.

  • Click here for more Information on state-specific massage therapy licensing requirements

In addition, certain local licensing or regulatory requirements may apply. more information about local licenses and permits:

Most businesses are required to collect sales tax on the goods or services they provide. To learn more about how sales tax will affect your business, read our article, Sales Tax for Small Businesses.

Maintain Personal Asset Protection

Don’t think that just forming an LLC, or any other type of business, will save your personal assets in case of a lawsuit or other matter by itself.

When your personal and business accounts are mixed, your personal assets (your home, car, and other valuables) are at risk in the event your LLC is sued. In business law, this is referred to as piercing your corporate veil.

Two of the simplest steps that will protect your business, and yourself, are to:

Open a business bank account

  • This separates your personal assets from your company's assets, which is necessary for personal asset protection.
  • It also makes accounting and tax filing easier.

Get a business credit card

  • This helps you separate personal and business expenses by putting your business' expenses all in one place.
  • It also builds your company's credit history, which can be useful to raise money and investment later on.
A smiling man sits at a computer and learns about corporate veils


To learn more about maintaining your LLC's corporate veil, read our guide and protect your personal assets.

Informed Consent Agreement

It is recommended to provide clients with informed consent agreements to decrease legal liability and encourage transparency. More information on informed consent agreements can be found here.

Recommended: Rocket Lawyer makes it easy to create a professional Informed Consent/Release of Liability form for your massage therapy business when you sign up for their premium membership. For $39.95 per month, members receive access to hundreds of legal agreements and on call attorneys to get complimentary legal advice.

Health Insurance Eligibility

Some massage therapy businesses chose to market their services with more of a therapeutic emphasis. If this is the case, you will probably come across consumers seeking to reimburse you for your services using their health plans. If this is the case, it is essential to make sure their health insurance covers therapeutic massages by massage therapists. Some plans require that massages are performed by licensed physical therapists. If massage therapy is indeed covered by insurance, you must fill out a health insurance claim form to receive payment.

Earning Potential

How much can you charge customers?

While the numbers vary by region, the national average massage therapists charge is $60 per hour. If you plan to accept insurance, discuss the fee structure with each company to ensure the allowable amount meets your facility’s needs.

What are the ongoing expenses for a massage therapy business?

In addition to the standard overhead, you should have an insurance policy in place. Sheets should be laundered, lotion should be fully stocked, as should brochures and business cards. Don’t forget to incorporate continuing education expenses into your annual budget as well.

How much profit can a massage therapy business make?

According to the U.S. Bureau of Labor Statistics, the average salary for massage therapists is $37,180. This number varies greatly, depending upon additional certifications, specializations, and your office setting.

How can you make your business more profitable?

While you’re in the business to heal, you’re also in it to make money. Here are a few ways you can increase the profit of your new business.

  • Offer multiple payment options. Many consumers will find another place to go if your business doesn’t accept credit cards.
  • Accept insurance. This opens your business up to a whole new set of clients that would otherwise be unavailable to you.
  • Work nights and weekends. Make yourself available during the times your customers need you most.
  • Accept gift certificates. Studies indicate consumers spent $130 billion on gift cards in 2015, with almost $1 billion going unused.
  • Offer spa packages. If your vision is a more spa-like atmosphere, increase your earning potential by partnering with individuals to offer a bevy of spa services.

Next Steps

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