Reflexology & Foot Massage Regulations in Guam
1. Territory Overview of Reflexology
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Reflexology is governed under Guam’s Therapeutic Massage regulations administered by the Department of Public Health & Social Services (DPHSS). There is no separate reflexology license—all reflexology services fall under the “therapeutic massage” framework unless limited helper exemptions apply dphss.guam.gov.
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Practitioners must comply with DPHSS rules for therapeutic massage to legally offer reflexology for compensation.
2. Guam Therapeutic Massage Licensing
To provide reflexology or any soft-tissue body-work in Guam, you must obtain a Therapeutic Massage Practitioner license via DPHSS:
Requirement | Details |
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Education & Training | Graduate from a DPHSS-approved massage school; submit transcript of hours completed dphss.guam.gov |
Examination | Pass a Board-approved practical & written exam covering massage theory and safety |
Healthcare Provider Certification | Provide a TB skin-test (PPD) within 6 months; CPR/First Aid certification required dphss.guam.gov |
Background & Health Screening | Physician’s certification of freedom from communicable disease as per DPHSS form |
Continuing Education & Renewal | Renew annually with proof of DPHSS-mandated CE hours; renewal application and fee required |
Apply & Learn More →
https://dphss.guam.gov/wp-content/uploads/2020/01/Rules-and-Regulations-Relating-to-Therapeutic-Massage.pdf dphss.guam.govhttps://youtu.be/C8AOBPD-Huo
3. Reflexology vs. Massage Therapy
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Reflexology: Targeted pressure on reflex points of the feet, hands, or ears—considered a modality of therapeutic massage in Guam.
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Therapeutic Massage: Broad soft-tissue manipulation (kneading, stretching, gliding, etc.)—also governed by the same DPHSS rules.
There is no exemption for reflexology; all body-work under Guam law must be performed by a licensed Therapeutic Massage Practitioner.