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LMT vs CMT vs RMT: Understanding Massage Titles & Insurance Needs

Table of Contents
two massage therapists giving one massage

The massage industry has a lot of letters associated with its professional titles and designations (LMT, RMT, CMT, CMP) — enough that it can start to feel like a bowl of alphabet soup.

Learn what they mean, how they differ, and why you need massage therapy insurance regardless of your letters.

LMT vs RMT vs CMT vs CMP: Key Differences at a Glance

Title Stands For Region Education Requirements Key Feature Insurance Needed?
LMT
Licensed Massage Therapist
Most states
500+ hours
Issued and regulated
by the state
Yes
RMT
Registered Massage Therapist
Canada, some states
~2,200 hours
Primarily used
in Canada
Yes
CMT
Certified Massage Therapist
CA, some states
500+ hours
Issued by independent board or state authority
Yes
CMP
Certified Massage Practitioner
CA
250 hours
Less training, CA specific
Yes

LMT vs CMT vs RMT: Why Massage Therapist Titles Vary

Massage Therapist Title Acronyms
LMT = Licensed Massage Therapist
RMT = Registered Massage Therapist
CMT = Certified Massage Therapist
CMP = Certified Massage Practitioner

Why are there so many massage therapist titles? The simplest answer: different regional laws. Massage therapy is not a nationally regulated profession, so there is no universal process for qualifying therapists.

Where each title is the most common:

  • Licensed Massage Therapist (LMT): United States
  • Certified Massage Therapist (CMT): California and other non-licensed states
  • Certified Massage Practitioner (CMP): California
  • Registered Massage Therapist (RMT): Canada

What training, certification, and title you need to legally practice massage therapy will depend on the state (and sometimes city) you live and work in.

Peaceful massage room with a massage table and large windows

What Is an LMT (Licensed Massage Therapist)?

An LMT is a massage therapist who has met their state’s professional licensing requirements. Licensing typically involves providing proof of your qualifications to a state board.

The most common requirements for massage licenses include:

  • 500+ hours of education
  • Passing an accredited exam
  • Liability insurance
  • A background check
  • A completed application form
  • Application fees

Pro tip: Licensing is compulsory, meaning by law you must have a license to practice massage. So in states that require a license, it does not matter what other qualifications you have; no license = no work.

Most states have licensing laws, which means you must be an LMT in order to work in most states.

The only states that do not require a massage license are:

  • California
  • Kansas
  • Minnesota
  • Vermont
  • Wyoming

But! (There’s always a but…) some cities or counties within these states still have specific requirements, like a minimum number of education hours or proof of passing a national exam.

Woman lying on a massage table with candles while receiving a head massage

What Is an RMT (Registered Massage Therapist)?

RMT most often refers to qualified massage therapists in Canada, where the “Registered” title is used for people in regulated healthcare professions.

It may also refer to therapists who are registered with a private professional body, like the American Massage Therapy Association (AMTA) or Associated Bodywork & Massage Professionals (ABMP). These organizations may have their own requirements for registering with them.

Occasionally, states that do not require a license for massage therapy will instead require you to register with the state. Whether you can promote yourself as an RMT in this case also depends on local laws.

What Is a CMT (Certified Massage Therapist)?

A CMT is a massage therapist who has been certified by a board or a recognized certification body, like the National Certification Board for Therapeutic Massage & Bodywork (NCBTMB). Unlike a license, certification is considered voluntary.
Pro tip: There are several national exams for massage therapy, like the Massage and Bodywork Licensing Examination (MBLEx) or the NCBTMB exam. When you pass one of these exams, you’re considered “certified.”

You are not legally required to get a certification to practice massage therapy. However, most states with licensing laws require a certification (aka a passing exam score) from an accredited organization like the MBLEx or NCBTMB.

In states without license regulations, massage therapists may need proof of certification to get hired. This is why the CMT title is most often used in no-license states like California.

California also has the California Massage Therapy Council (CAMTC), which issues a voluntary certification to therapists who meet their requirements. Though it’s not a state mandate, some cities, counties, or individual employers may list a CAMTC certification as a job requirement.

What Is a CMP (Certified Massage Practitioner)?

CMP is a designation specific to California. It’s considered an entry-level certification as it only requires 250 hours of training.

Pro tip: CMT vs CMP. A CMT needs at least 500 hours of formal education and training in massage therapy. A CMP needs between 250 to 499 hours of massage therapy training.

Additional resources for understanding massage licenses and certifications:

Know Your Title, Protect Your Practice

Each state has its own title and licensing rules for massage therapists. This is crucial to remember if you work in different states or plan to move to another state and still practice massage.

One thing that stays constant across every state and professional title is the need to protect your practice. Even if your state doesn’t require liability insurance (some do), the risk of a client getting injured is always there.

In the event a claim is brought against you for injuries or damages, massage therapist liability insurance is there to act as your financial safety net. Protect your career and your investment for as little as $9.99/month today with Beauty and Bodywork Insurance.

Close-up of hands massaging a person's leg in a cozy setting

Frequently Asked Questions About Massage Therapist Titles

No. While they are similar, each state has its own licensing board and regulations. Find your state’s specific licensing requirements in our state-by-state guide.

Yes. As long as you meet your state’s requirements for practicing massage, you are eligible for massage liability insurance.

No! Regardless of your official title, you need general and professional liability insurance to protect yourself from the cost of common claims and lawsuits. Your state may dictate the minimum amount of insurance you need, but that is based on state law and not necessarily your title.

With BBI, the cost of massage therapist insurance is only $9.99/month or $96/year no matter your title.

Get Covered With
Beauty & Bodywork Insurance

Policies Starting at

$9.99

a month or $96/year

Get Covered With
Beauty & Bodywork Insurance

Policies Starting at

$96
a year

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