Reflexology & Foot Massage Regulations in Ohio
1. State Overview of Reflexology
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In Ohio, reflexology is regulated as massage therapy. Under Ohio R.C. § 4731.15(e), “massage techniques” expressly include modalities such as reflexology, reiki, and polarity codelibrary.amlegal.com.
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Anyone offering reflexology services—feet, hands, or ears—must be licensed as a Massage Therapist (MT) by the State Medical Board of Ohio med.ohio.gov.
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2. Ohio Massage Therapist Licensing
To legally practice reflexology or any soft-tissue modality in Ohio, you must hold an MT license:
Requirement Details Education Completion of an approved massage-therapy program (typically 500 hours minimum) legislature.ohio.gov Examination Passage of the MBLEx or a Board-approved equivalent exam Background Checks FBI and Ohio BCI criminal record checks; fingerprinting required med.ohio.gov Other Prerequisites ≥ 18 years old; high-school diploma or GED; liability insurance; CPR/First Aid certification Renewal & Continuing Education Renew biennially with 24 CE hours, including ethics and human-trafficking prevention mandated by SB 105 abmp.com Apply & Learn More →
https://med.ohio.gov/apply-and-renew/licenses-and-certifications/02-massage-therapist-%28mt%29 med.ohio.govhttps://youtu.be/Z4SL__dzEVU
3. Reflexology vs. Massage Therapy
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Reflexology: Targeted pressure on reflex points of feet, hands, or ears—but under Ohio law, it’s a subset of massage therapy.
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Massage Therapy: Systematic soft-tissue manipulation (kneading, friction, stretching, etc.)—requires the same MT license.
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There is no separate exemption for reflexology; all practitioners must be licensed under Ohio R.C. Chapter 4731 codes.ohio.gov.
4. Local Establishment & Business Permits
Beyond state licensure, many Ohio municipalities require massage establishments to register or obtain local permits:
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Columbus: Massage and bath establishments need a certificate of registration and zoning approval under Chapter 540 library.municode.com.
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North Olmsted: Massage establishments must hold a registration certificate and comply with health-department inspections codelibrary.amlegal.com.
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Other Cities (Cleveland, Cincinnati, Toledo): Typically require a business license and may conduct facility inspections.
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Tip: Always verify your city or county clerk’s office for specific local requirements before opening a practice.
https://youtu.be/WtL0DOZTGqs
5. Raynor Reflexology Guidance in Ohio
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Raynor-trained reflexologists must obtain an Ohio MT license to legally offer reflexology techniques.
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For mobile or brick-and-mortar services, secure any required local establishment permits, and clearly advertise:
“Certified Raynor Reflexology – Performed by Licensed Massage Therapist.”
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Our Raynor curriculum remains industry-leading—combine it with your Ohio MT credentials to stay fully compliant.
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Explore Raynor Courses →
https://www.raynormassage.com/courses/
Read Our Testimonials
6. Quick Reference Table
Service Type State License Required? Local Permit Often Required? Reflexology (any modality) Yes (MT license) Yes (establishment/business license) Massage Therapy (MT) Yes Yes Raynor Reflexologists Yes Yes -
7. FAQs
Q: Can I practice “foot reflexology” without a license?
A: No—Ohio law classifies reflexology as massage therapy. An MT license is mandatory.
Q: Are there any reflexology-only permits?
A: No. All reflexology services fall under massage-therapy licensing; no separate reflexology license exists.
Q: What’s SB 105 about?
A: Ohio SB 105 (2019) strengthened CE requirements on ethics and human-trafficking prevention for massage therapists abmp.com.
8. Resources & Links
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State Medical Board of Ohio: MT Licensure & FAQs
https://med.ohio.gov/apply-and-renew/licenses-and-certifications/02-massage-therapist-(mt) med.ohio.gov -
Ohio Revised Code Chapter 4731 (Massage Therapy Practice Act)
https://codes.ohio.gov/ohio-revised-code/section-4731.15 codelibrary.amlegal.com -
Local Ordinances & Registration
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Raynor Massage State Overview (All States)
https://www.raynormassage.com/reflexology-regulations-and-laws-state-by-state-across-the-us -
Raynor Massage Courses https://www.raynormassage.com/courses
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Testimonials – Hear from our happy clients!
https://www.raynormassage.com/testimonials
Disclaimer: Laws and local ordinances change. Always verify current requirements with the State Medical Board of Ohio and your local licensing authorities before opening or advertising your practice.