Reflexology and Foot Massage Regulations and Laws in Iowa
At Raynor Massage, we support holistic healing with clear, professional guidelines. In Iowa, reflexology is exempt from state massage licensure, allowing reflexologists to work legally within defined boundaries—but massage still requires full licensing and compliance.
✅ Is Reflexology Legal in Iowa?
Yes. In 2004, the Iowa Legislature passed HF2201, amending Iowa Code Chapter 152C to explicitly exempt reflexology (limited to feet, hands, or ears) from the state’s massage licensing requirements
⚠️ Exemption Requirements
To be legally exempt, reflexologists must:
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Work only on hands, feet, or ears, not full body.
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Ensure clients remain fully clothed.
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Not advertise as “massage,” “massage therapy,” or use protected massage‑related titles
What Massage Licensure Requires
If offering services beyond those exemptions—such as full foot massage, bodywork, or using massage titles—you must:
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Complete 600 hours of training at an IBMT‑approved school
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Pass the MBLEx (or equivalent) exam
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Apply for licensure with the Iowa Board of Massage Therapy, including fingerprint/background checks.
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Renew biennially with 16 hours of continuing education
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Business & Local Regulations
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Reflexologists within the state exemption do not need a massage license.
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However, full massage establishments must comply with all state licensing.
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Some cities—like West Des Moines and Newton—define reflexology separately under local code and may require business permits and licensing, even for reflexology-only work
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Want to Learn Reflexology?
Raynor Massage offers specialized Foot & Hand Reflexology and Meridian Therapy courses that align perfectly with Iowa’s exemption:
➡️ Foot & Hand Reflexology Course
➡️ Browse All Raynor Massage Courses
Ideal for:
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Reflexologists operating legally under Iowa’s exemption
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Licensed massage therapists expanding their reflexology skills
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Holistic practitioners committed to deep, ethical bodywork techniques
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✅ Iowa Reflexology Compliance Checklist
Requirement | Status |
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Reflexology legal? | ✅ Yes |
Exemption for reflexology? | ✅ Yes |
Areas limited to? | Feet, hands, ears |
Clothing requirement? | ✅ Fully clothed |
Massage license required for full massage/foot massage? | ✅ Yes (600 hrs + MBLEx + licensing) |
Massage establishment/license needed? | ✅ Yes (for full massage services) |
Local permits? | ⚠️ Depends—check city-level rules |
⚖️ Disclaimer
This page is informational and not legal advice. Laws may change—always verify with the Iowa Board of Massage Therapy (DIAL) and check your city or county regulations before launching a practice.
Raynor Massage
Holistic Training in Reflexology & Natural Bodywork
www.raynormassage.com