Milree Keeling, R.N., M.S., BCSITM, happily practices KMI Structural Integration in central Massachusetts, where she practiced as a nurse-midwife for over 20 years. She is the secretary to the Board of Directors of the IASI, and chair of its Law and Legislation Committee. In 2011, the MA Nurse Practice Act was revised to remove physician supervision of nurse-midwifery practice; Milree led the decade-long legislative effort.
Abstract
Structural integrators must commonly comply with massage therapy licensing and regulations to practice in the United States.
This article summarizes regulations in the 50 states and District of Columbia and includes a summary of those states that exempt structural integration (SI) from massage licensure, those that do not require massage licensure to practice SI, and the one that specifically licenses SI. Regulation in other nations varies widely, and an international review would be welcomed.
Structural integration (SI) practice emerged in the United States (US) as a unique bodywork discipline in the 1960s and 1970s. At the same time, the first well-organized effort for state licensure of massage therapy was active across the country. Licensure authorizes only qualified individuals to engage in practice, and sanctions those who practice without authorization. Despite the efforts of some SI practitioners to seek exemption from massage licensure, a considerable majority of states required massage licensure for the practice of touch and bodywork therapies by 2000. The professionalization of SI since the early 1990s resulted in coordinated efforts to seek exemption or appropriate regulation wherever licensure laws have been proposed or opened for revision.
The primary purpose of licensure is protection of the public from unsafe, unprepared, or unethical practitioners. Standards for education and for safe, ethical practice and operation of professional facilities are common inclusions in licensure laws and regulations. States also license professions to provide exclusive title protection for practitioners and to maintain professional registries.
Licensure as a massage therapist is not required for the practice of structural integration in 17 states (33%), and the practice is named as exempt from massage licensure in 9 (20%) of those states in which massage is licensed. New Hampshire is the only state in which SI is specifically licensed (Table 1). In 28 of the 34 states which require massage licensure for SI, basic education programs must be accredited by a national accrediting organization or achieve massage board approval through a process approaching or equivalent to the scope and cost of accreditation (Table 2). Eleven of these 34 states require more than 500 hours of basic massage education (Table 3), and most states specify how programs must allocate required clock-hours to specific topics. Many, but not all, SI practitioners are also massage therapists. However, because massage education and/or licensure is not consistently required for admission to SI education programs, and few SI programs are also considered massage education programs, many SI practitioners are ineligible for licensure in most states that require it.
Table 1
States in which structural integration does not require a massage license:
Because massage and bodywork are not licensed (7)
Alaska California
Kansas Minnesota
Oklahoma Vermont Wyoming
Because structural integration is licensed as SI (1)
New Hampshire
Because structural integration is exempt from massage licensure (9)
Colorado Georgia
Idaho Illinois
Maine Massachusetts
Montana New Mexico
The purpose of this review is to inform practitioners, educators, and SI leaders about the current legal status of the profession in the US. It addresses only the 50 states and the District of Columbia (DC). Regulation in other nations varies widely, and an international review would be welcomed. This review was compiled from state statutes, code, and regulations at the end of 2012 and includes: relevant definitional statements from law and regulations (rules) in each state; the various license types each state requires; educational and competency examination requirements; and specific barriers for SI practitioners.
Each state regulates professions in a unique way, and there is little coordination among states in how licensing laws and regulations are written. However, most states try to streamline the licensure process somewhat for practitioners who are licensed in another state by including a reciprocity process; this means that licensure in another state partially meets their requirements for licensure.
This review reveals a fragmented approach to licensure of SI and massage, and duplicative certification and accreditation processes within massage itself. Practitioners and educators are challenged by a wide range of requirements that are confusing at best. At worst, they severely limit practice portability between states and expansion.
The following acronyms and abbreviations are commonly used.
Therapeutic Massage & Bodywork 12.NCCA: National Commission for Certifying
Agencies
Table 2
States in which SI is licensed as massage which have accreditation-equivalent requirements for education programs (28)
Alabama Arizona
Arkansas Connecticut District of Columbia Florida Indiana Kentucky
Louisiana Maryland
Mississippi Missouri
Nevada New Jersey
New York North Carolina
North Dakota Ohio
Oregon Pennsylvania
Rhode Island South Dakota
Tennessee Texas
Utah Virginia
Washington West Virginia
Alabama
Issues for SI practitioners:
SI is considered a practice of massage therapy. School approval is similar in detail and scope to accreditation. The board may grant only the specific licenses that are outlined in statute.
Definitions:
Massage therapy is the profession in which the practitioner applies massage techniques and related touch therapy modalities with the intention of positively affecting the health and well-being of the client.
Licenses Granted/Required:
Licensed Massage Therapist, Licensed Massage Therapist Instructor, Qualified Massage Establishment.
Education and Exams:
Table 3
States requiring more than 500 hours of basic education for licensure (11)
Alabama Arizona
Hawaii Kentucky
Mississippi Nebraska
New York North Dakota
Ohio Pennsylvania Utah
Alaska
No state regulation of massage or bodywork
Arizona
Issues for SI practitioners:
SI is considered the practice of massage therapy. Only accredited schools may qualify for educational requirements.
Definitions:
? The manual application of compression, stretch, vibration, or mobilization of the organs and tissues beneath the dermis, including the components of the musculoskeletal system, peripheral vessels of the circulatory system, and fascia, when applied primarily to parts of the body other than the hands, feet, and head.
? The manual application of compression, stretch, vibration, or mobilization using the forearms, elbows, knees, or feet or handheld mechanical or electrical devices.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
school.
Arkansas
Issues for SI practitioners:
SI is considered the practice of massage therapy. CE must be board-approved, and the requirements are detailed and onerous. School licensure is similar in detail and scope to accreditation. The board may grant only the specific licenses that are outlined in the statute.
Definitions:
Regulations define massage as the practice of all massage therapy techniques and procedures including all phases of massage and bodywork for the purposes of relaxation, stress reduction, pain relief, injury prevention, injury repair, postural improvement, and/or health enhancement; including any hands-on bodywork techniques and procedures rising to the level of the techniques and procedures intended to be regulated under this chapter and not covered under specific licensing laws of other boards.
Licenses Granted/Required:
Licensed Massage Therapist; can be upgraded to Master Massage Therapist or Massage Therapy Instructor; the Board licenses schools.
Education and Exams:
Issues for SI practitioners:
The law creates language to build on for a mandatory licensure law. Until 1000 SI practitioners are licensed in CA, SI is not eligible for a seat on the council.
Definitions:
Licenses Granted/Required:
? Voluntary certification, no mandatory licensure
? CA Massage Therapy Certification Council functions as a board without licensure powers
? Certified Massage Therapist (CMT).
? Certified Massage Practitioner (CMP) – until 2015.
? Schools are voluntarily registered.
Education and Exams:
Colorado
Specific exemption from massage licensure for structural integration practices such as Rolfing® and Hellerwork®.
Connecticut
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be nationally accredited for approval. Definitions:
Massage therapy means the systematic and scientific manipulation and treatment of the soft tissues of the body, by use of pressure, friction, stroking, percussion, kneading, or vibration by manual or mechanical means, range of motion, and nonspecific stretching.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Delaware
Issues for SI practitioners:
SI is considered the practice of massage therapy, but the exams required don’t test for SI bodywork, which is a distinct category in the rules.
Definitions:
Licenses Granted/Required:
Licensed Massage Therapist, Certified Massage Therapist, and the board may have authority to grant additional licenses.
Education and Exams:
District of Columbia
Issues for SI practitioners:
SI is considered the practice of massage therapy. CE for re-licensure must be board approved and the requirements are detailed and onerous. School approval requires COMTA or USDOE accreditation, or state (any state) licensure.
Definitions:
A massage therapist, or any person so authorized under the act, to perform massage therapy may perform therapeutic maneuvers in which the practitioner applies massage techniques, including use of the hand or limb, by applying touch and pressure to the human body. Massage techniques include, but are not limited to: Rolfing, neuromuscular therapy, Shiatsu or acupressure, trigger point massage, Trager®, Tui na, reflexology, Thai massage, deep tissue massage, myofascial release, lymphatic drainage, craniosacral therapy, polarity, Reiki, Swedish massage, and therapeutic touch.
Licenses Granted/Required:
Licensed Massage Therapist, Massage Therapy Apprentice, and the Board may have authority to grant additional licenses.
Education and Exams:
Florida
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be licensed by the state and school accreditation is required. Licensure examinations must also be available in Spanish.
Definitions:
Massage means the manipulation of the soft tissues of the human body with the hand, foot, arm, or elbow, whether or not such manipulation is aided by hydrotherapy, including colonic irrigation, or thermal therapy; any electrical or mechanical device; or the application to the human body of a chemical or herbal preparation.
Licenses Granted/Required: Licensed Massage Therapist, Massage Establishment.
Education and Exams:
Georgia
Issues for SI practitioners:
None, if IASI member or membership eligible.
Definitions:
A person who uses touch and movement education to effect change in the structure of the body while engaged in the practice of structural integration, provided that he or she is a member of, or whose training would qualify for membership in, the International Association of Structural Integrators and provided that his or her services are not designated or implied to be massage or massage therapy, is exempt from massage licensure.
Hawaii
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be licensed by the state or approved by the USDOE, AMTA, or the Rolf Institute®.
Definitions:
Licenses Granted/Required:
Licensed Massage Therapist, Massage Therapy Apprentice, and Massage Establishment Education and Exams:
Idaho
Specific exemption from massage licensure for SI practitioners.
Illinois
Issues for SI practitioners:
Requires approval by an SI governing body (undefined).
Definitions:
Practitioners of certain service-marked bodywork approaches that do involve intentional soft tissue manipulation, including but not limited to Rolfing, Trager Approach, polarity therapy, and Ortho- Bionomy®, are exempt from (massage licensure) if they are approved by their governing body based on a minimum level of training, demonstration of competency, and adherence to ethical standards.
Indiana
Issues for SI practitioners:
It is unclear whether limited definition of massage includes SI. Schools must be state-regulated and accredited.
Definitions:
Massage therapy means the application of massage techniques on the human body and includes: the use of touch, pressure, percussion, kneading, movement, positioning, nonspecific stretching, stretching within the normal anatomical range of movement, and holding, with or without the use of massage devices that mimic or enhance manual measures.
Licenses Granted/Required:
Certifications for massage therapy, as determined by the board.
Education and Exams:
Issues for SI practitioners:
Bodywork, and probably SI, is practice of massage therapy. The definition is unclear regarding inclusion, but the opportunity for waiver from rules exists.
Definitions:
Massage therapy means performance for compensation of massage, myotherapy, massotherapy, bodywork, bodywork therapy, or therapeutic massage, including: hydrotherapy, superficial hot and cold applications, vibration and topical applications, or other therapy which involves manipulation of the muscle and connective tissue of the body excluding osseous tissue, to treat the muscle tonus system for the purpose of enhancing health, muscle relaxation, increasing range of motion, reducing stress, relieving pain, or improving circulation.
Licenses Granted/Required: Licensed Massage Therapist. Education and exams:
Kansas
No state regulation of massage or bodywork.
Kentucky
Issues for SI practitioners:
SI is considered the practice of massage. The state approves all schools using extensive criteria and a process similar to accreditation.
Definitions:
The practice of massage therapy means the application, by a massage therapist licensed by the board, of a system of structured touch, pressure, movement, and holding to the soft tissues of the human body with the intent to enhance or restore the health and well-being of the client.
Licenses Granted/Required:
Licensed Massage Therapist.
Education and Exams:
Louisiana
Issues for SI practitioners:
SI is considered the practice of massage therapy. Requirements for certification as an instructor are specific and onerous. Since CBSI is not NCCA accredited, the CESI is ineligible for board approval.
Definitions:
Licenses Granted/Required:
Licensed Massage Therapist, Registration and Certification of Massage Establishments, Certification for Massage Instructors.
Education and Exams:
Maine
Definitions:
The activities and services of individuals who practice other forms of tissue work exclusive of massage therapy, such as Rolfing, Trager, reflexology, Shiatsu, Reiki and polarity, if those practitioners do not use the title massage therapist or massage practitioner… are exempt from massage therapy licensure Maryland
Issues for SI practitioners:
SI is considered the practice of massage therapy. Education programs need to be accredited, and CE programs must be board-approved 90 days in advance to apply to license renewal.
Definitions:
Massage therapy means the use of manual techniques on soft tissues of the human body including effleurage (stroking), petrissage (kneading), tapotement (tapping), stretching, compression, vibration, and friction, with or without the aid of heat, limited to hot packs and heating pads, cold water, or non-legend topical applications, for the purpose of improving circulation, enhancing muscle relaxation, relieving muscular pain, reducing stress, or promoting health and well-being.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Massachusetts
SI is named as exempt from massage licensure by statute.
Michigan
SI is named as exempt from massage licensure by statute.
Minnesota
No state-level regulation of massage or bodywork.
Mississippi
Issues for SI practitioners:
SI is considered the practice of massage therapy. Education programs must be accredited. If CBSI were certified by a nationally accredited organization recognized by the board, then board-certified SI practitioners would be exempted from licensure.
Definitions:
Massage therapy means the profession in which the practitioner applies massage techniques with the intent of positively affecting the health and well-being of the client
Licenses Granted/Required: Licensed Massage Therapist, Massage Establishments.
Education and Exams:
Missouri
Issues for SI practitioners:
SI is considered the practice of massage therapy. Only a Licensed Massage Therapist may use the term bodywork. Students must be licensed, and schools must be accredited.
Definitions:
Massage therapy, a health care profession which involves the treatment of the body’s tonus system through the scientific or skillful touching, rubbing, pressing, or other movements of the soft tissues of the body with the hands, forearms, elbows, or feet, or with the aid of mechanical apparatus, for relaxation, therapeutic, remedial or health maintenance purposes to enhance the mental and physical well- being of the client.
Licenses Granted/Required:
Licensed Massage Therapist, Licensed Massage Therapist Student, Massage Business License, and Board Certified Mentor.
Education and Exams:
Montana
SI is named as exempt from massage licensure by statute.
Nebraska
Issues for SI practitioners:
SI is considered a holistic therapy according to regulations, and thus requires massage license. Definitions:
Massage therapy means the physical, mechanical, or electrical manipulation of soft tissue for the therapeutic purposes of enhancing muscle relaxation, reducing stress, improving circulation, or instilling a greater sense of well-being and may include the use of oil, salt glows, heat lamps, and hydrotherapy.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
including 100 hours of hydrotherapy.
Nevada
Issues for SI practitioners:
SI is considered the practice of massage therapy. Statutory language would require CBSI to be accredited to approve CESI. Education programs that are not licensed or accredited must be approved by the board.
Definitions:
Massage therapy means the application of a system of pressure to the muscular structure and soft tissues of the human body for therapeutic purposes, including, without limitation: effleurage, petrissage, tapotement, compressions, vibration, friction, and movements applied manually with or without superficial heat, cold, water, or lubricants for the purpose of maintaining good health and establishing and maintaining good physical condition.
Licenses Granted/Required:
Licensed Massage Therapist,Massage Establishments.
Education and Exams:
New Hampshire
Issues for SI practitioners:
Certification by IASI or the Rolf Institute required. No reciprocity options by law.
Definitions:
From statute: The general court, to protect the health, safety, and welfare of the people of the state of New Hampshire, establishes a regulatory program for licensure of reflexologists, structural integrators, and Asian bodywork therapists. The general court recognizes that there are different and specific bodywork professions, and this chapter provides for licensure to differentiate those professions that have attained maturity through established history and the creation of credible professional associations and training.
Licenses Granted/Required: Bodywork (required to practice SI). Education and Exams:
New Jersey
Issues for SI practitioners:
SI is considered the practice of massage therapy and only Licensed Massage Therapists may use term bodywork. Schools must be accredited or state-approved.
Definitions:
Massage and bodywork therapies or massage and bodywork means systems of activity of structured touch which include, but are not limited to, holding, applying pressure, positioning, and mobilizing soft tissue of the body by manual technique and use of visual, kinesthetic, auditory, and palpating skills to assess the body for purposes of applying therapeutic massage and bodywork principles. Massage and bodywork therapy practices are designed to affect the soft tissue of the body, including practices of structured touch of the soft tissues that affect energy fields of the body, for the purpose of promoting and maintaining the health and well-being of the client.
Licenses Granted/Required:
Licensed Massage Therapist, and the Board registers employers.
Education and Exams:
New Mexico
Issues for SI practitioners:
Requirements for licensure for SI practitioners who are not Rolf-certified is not addressed in statute and rules.
Definitions:
Rolfing Structural Integration exempt by statute.
New York
Issues for SI practitioners:
SI is considered the practice of massage therapy; schools must be state-approved or demonstrate equivalent program; education program and exam must test western and oriental massage; CE technique demonstrations in classes may only be done by New York Licensed Massage Therapist.
Reciprocity is only allowed between states with equivalent hours and exam, and applicant must have two years’ experience in practice.
Definitions:
The practice of the profession of massage therapy is defined as engaging in applying a scientific system of activity to the muscular structure of the human body by means of stroking, kneading, tapping, and vibrating with the hands or vibrators for the purpose of improving muscle tone and circulation.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
North Carolina
Issues for SI practitioners:
SI is considered the practice of massage therapy. The school approval process is similar to accreditation, and expensive. Applicants must complete a program at a board-approved or licensed school, or provide proof that their school is exempt from a requirement for licensure in its state of jurisdiction.
Definitions:
Massage and bodywork therapy are systems of activity applied to the soft tissues of the human body for therapeutic, educational, or relaxation purposes. The application may include: pressure, friction, stroking, rocking, kneading, percussion, or passive or active stretching within the normal anatomical range of movement…. A person holds out himself or herself to others as a massage and bodywork therapist when the person adopts or uses any title or description including massage therapist, bodywork therapist, masseur, masseuse, massagist, somatic practitioner, body therapist, structural integrator, or any derivation of those terms that implies this practice.
Licenses Granted/Required:
Licensed Massage and Bodywork Therapist; the board regulates establishments.
Education and Exams:
North Dakota
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must have a liaison to the board and meet curricular requirements to be approved.
Definitions:
Massage means the scientific and systematic manipulation of the soft tissues of the human body through any manual or mechanical means… for the purpose of promoting, maintaining, and restoring the health and well-being of the client.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Ohio
Issues for SI practitioners:
SI is considered the practice of massage therapy and licensure is by the Board of Medicine as a limited practice of medicine. Schools must be licensed or board-approved, and the MBLEx is the only acceptable exam. There is no license reciprocity process.
Definitions:
Massage is the treatment of disorders of the human body by the manipulation of soft tissue through the systematic external application of massage techniques including touch, stroking, friction, vibration, percussion, kneading, stretching, compression, and joint movements within the normal physiologic range of motion.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Oklahoma
No state regulation of massage or bodywork.
Oregon
Issues for SI practitioners:
SI is considered the practice of massage therapy and schools must be approved by the state board. The CESI can be taken for licensure if the practitioner has graduated from a state-approved school.
Definitions:
or international professional organization or credentialing agency that:
? Requires a minimum level of training specific to their discipline, demonstration of competence and adherence to an approved scope of practice and ethical standards;
? Maintains disciplinary procedures to ensure adherence to the requirements of the organization or agency.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
certified school or program.
Pennsylvania
Issues for SI practitioners:
SI is considered the practice of massage therapy and only a Licensed Massage Therapist may use term bodywork. Schools must be accredited or state-approved.
Definitions:
The application of a system of structured touch, pressure, movement, holding, and treatment of the soft tissue manifestations of the human body in which the primary intent is to enhance the health and well-being of the client without limitation, except as provided in this act.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Rhode Island
Issues for SI practitioners:
SI is considered the practice of massage therapy. Option is provided for licensure reciprocity if applicant graduated from an accredited or licensed school.
Definitions:
The practice of massage means engaging in applying a scientific system of activity to the muscular structure of the human body by means of stroking, kneading, tapping, and vibrating with the hands or vibrators for the purpose of improving muscle tone and circulation.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
South Carolina
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be state-approved.
Definitions:
Licenses Granted/Required: Licensed Massage Therapist. Education:
South Dakota
Issues for SI practitioners:
SI is considered the practice of massage therapy and only a Licensed Massage Therapist may use term bodywork. Schools must be accredited or state-approved.
Definitions:
Massage: the systematic mobilization of the soft tissues of the body through the application of hands or devices for the purposes of therapy, relaxation, or education through means which include: pressure, friction, stroking, rocking, kneading, percussion, compression, or stretching.
Licenses Granted/Required: Licensed Massage Therapist. Education:
Tennessee
Issues for SI practitioners:
SI is considered the practice of massage therapy and only a Licensed Massage Therapist may use term bodywork. Schools must be accredited or state-approved. There are very specific content requirements for CE hours. Reciprocity is only available if an applicant has equivalent education or five years’ experience and NCBTMB certification for five years.
Definitions:
Massage/bodywork/somatic: the manipulation of the soft tissues of the body with the intention of positively affecting the health and well-being of the client.
Licenses Granted/Required: Licensed Massage Therapist, Massage Establishments.
Education and Exams:
Texas
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be licensed or state-approved and requirements are detailed and onerous.
Definitions:
Licenses Granted/Required:
Licensed Massage Therapist, Massage Establishment, Massage School, Massage Instructor. The Board may issue distinct licenses for alternative providers but has not yet written rules to do so.
Education and Exams:
Utah
Issues for SI practitioners:
SI is considered the practice of massage therapy and only a Licensed Massage Therapist may use the term bodywork. Schools must be accredited or state-approved.
Definitions:
The practice of massage therapy means:
(a) the examination, assessment, and evaluation of the soft tissue structures of the body for the purpose of devising a treatment plan to promote homeostasis;
(b) the systematic manual or mechanical manipulation of the soft tissue of the body for the purpose of: promoting the therapeutic health and well-being of a client; enhancing the circulation of the blood and lymph; relaxing and lengthening muscles; relieving pain; restoring metabolic balance; achieving homeostasis; or other purposes;
(c) the use of the hands or a mechanical or electrical apparatus;
(d) the use of rehabilitative procedures involving the soft tissue of the body;
(e) range of motion or movements without spinal adjustment;
(f ) oil rubs, heat lamps, salt glows, hot and cold packs, or tub, shower, steam, and cabinet baths;
(g) manual traction and stretching exercise;
(h) correction of muscular distortion by treatment of the soft tissues of the body;
(i) counseling, education, and other advisory services to reduce the incidence and severity of physical disability, movement dysfunction, and pain;
(j) similar or related activities and modality techniques;
Licenses Granted/Required:
Licensed Massage Therapist, Massage Therapy Apprentice, and the board registers Massage Employers.
Education and Exams:
Vermont
Vermont has officially declined to regulate massage or bodywork.
Virginia
Issues for SI practitioners:
SI is considered the practice of massage therapy and only a Licensed Massage Therapist may use term bodywork. Schools must be state-approved.
Definitions:
Massage therapy means the treatment of soft tissues for therapeutic purposes by the application of massage and bodywork techniques based on the manipulation or application of pressure to the muscular structure or soft tissues of the human body.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Washington
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be accredited or state-approved through a detailed process similar to accreditation. Definitions:
Licenses Granted/Required:
Licensed Massage Practitioner, endorsement for intraoral massage.
Education and Exams:
West Virginia
Issues for SI practitioners:
SI is considered the practice of massage therapy. Schools must be accredited or state-approved. Definitions:
Massage therapy means a health care service which is a scientific and skillful manipulation of soft tissue for therapeutic or remedial purposes, specifically for improving muscle tone, circulation, promoting health and physical well-being. Massage therapy includes massage, myotherapy, massotherapy, bodywork, bodywork therapy, or therapeutic massage including hydrotherapy, superficial hot and cold applications, vibration and topical applications or other therapies which involve manipulation of the muscle and connective tissue of the body, for the purpose of enhancing health, reducing stress, improving circulation, aiding muscle relaxation, increasing range of motion, or relieving neuromuscular pain.
Licenses Granted/Required: Licensed Massage Therapist. Education and Exams:
Wisconsin
SI is exempt from massage licensure by statute, and practitioners may use the terms bodyworker and bodywork therapist.
Wyoming
No state regulation of massage or bodywork.
Conclusion
All errors and omissions are my responsibility.
I welcome your corrections and feedback about your experience in your state. The IASI Law and Legislation Committee works to support access to SI practitioners in all jurisdictions, and would welcome any interested IASI members to join us. If you would like to discuss regulation of practice in your state, or join the committee, please contact me at iasimilree@ gmail.com.
Structural Integration in the United States in 2013
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