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Reflexology & Foot Massage Regulations in Washington

Reflexology & Foot Massage Regulations in Washington


1. State Overview of Reflexology & Massage

Under Washington law, “massage therapy” expressly includes reflexology as a therapeutic technique:

“Massage therapy includes techniques such as tapping, compressions, friction, reflexology, … gliding, kneading, shaking, and … connective tissue stretching, with or without … lubricants.” app.leg.wa.gov

Practitioners must either hold a Reflexologist Certificate or a Massage Therapist license—depending on the services they provide.


2. Reflexologist Certification (WAC 246-831)

Washington offers a Reflexologist Certificate through the Department of Health for those who restrict their practice to reflexology on hands and feet:

  • Education: Minimum 200 hours from a Board-approved reflexology program, covering the skills in WAC 246-831-040 doh.wa.gov

  • Application: School mails your completion form directly to DOH

  • Eligibility: ≥ 18 years old; no requirement to hold additional massage credentials

  • Renewal: Certificates renew every two years with any DOH-mandated CE

Apply for Your Reflexologist Certificate →
https://doh.wa.gov/licenses-permits-and-certificates/professions-new-renew-or-update/reflexologist/certification-requirements doh.wa.gov

https://youtu.be/C8AOBPD-Huo


3. Massage Therapist Licensing (WAC 246-830)

To perform broader foot-and-leg massage or advertise “massage therapy,” you must hold a Massage Therapist license:

Requirement Details
Education 500 hours Board-approved massage-therapy program (anatomy, ethics, practicum) massagechangeslives.com
Examination Pass the MBLEx (Massage & Bodywork Licensing Exam)
Background Check & Fingerprints FBI & Washington DOL checks; fingerprints required
Continuing Education 24 hours every two years—minimum 4 hours in ethics or state laws app.leg.wa.gov
Application & Fees Apply via DOH portal; fee schedule posted on DOH website

Learn More & Apply →
https://doh.wa.gov/licenses-permits-and-certificates/professions-new-renew-or-update/massage-therapist app.leg.wa.gov

https://youtu.be/0kITCWLS_HQ


4. Local Business & Health-Department Permits

State certification/licensure doesn’t replace municipal requirements. In most Washington cities you’ll need:

  • Massage/Reflexology Establishment Permit (e.g., Seattle, Tacoma)

  • Business License from city or county clerk

  • Health-Department Inspections for sanitation and safety

Tip: Check your local city or county website for specific permit applications before opening.

https://youtu.be/6vUb8nnvteY


5. Raynor® Reflexology Guidance in Washington

  • Raynor-trained reflexologists may practice reflexology statewide on hands & feet only under the DOH certificate—without holding a massage license.

  • To provide deeper foot-and-leg massage or use tool-assisted techniques, obtain the Massage Therapist license.

  • Clearly advertise on your site:

    “Certified Raynor Reflexology – Washington State Certificate #____ (Hands & Feet Only)”

Explore Raynor Courses →
https://www.raynormassage.com/courses/

https://youtu.be/0ER_X2lEchQ


6. Read Our Testimonials

Read more success stories →

https://www.raynormassage.com/testimonials/


7. Quick Reference Table

Service Type State Credential Required? Local Permit Often Required?
Pure Reflexology (hands/feet) Yes (Reflexologist Certificate) Yes (establishment/business license)
Foot/Leg Massage (beyond reflex) Yes (Massage Therapist license) Yes
Combined Reflexology + Massage Yes (Massage Therapist license) Yes

8. FAQs

Q: Can I practice foot reflexology without a massage license?

A: Yes—if you hold a Reflexologist Certificate and limit services to reflexology on hands and feet doh.wa.gov.

Q: How many CE hours are required for a massage license renewal?

A: 24 hours every two years, with at least four in ethics or state laws app.leg.wa.gov.

https://youtu.be/Z4SL__dzEVU


9. Resources & Links

Disclaimer: Regulations and local ordinances evolve—always verify current requirements with the Washington Department of Health and your local authorities before opening or advertising your practice.

https://youtu.be/swms8dIulzQ