Reflexology Regulations and Laws State by State Across the US

Reflexology Regulations by State — U.S. Guide

Every state in the US has different laws about foot and hand reflexology. Many states have no regulation and/or exempt it from massage regulations with various caveats while others require 200 or 500 hours of training at a state regulated school to practice reflexology.

This webpage deals specifically with Raynor reflexology, which is a system of foot and hand reflexology developed by Australian/Canadian Naturopath Brandon Raynor, who is now living in the USA and teaching his methods here.

Students that take our reflexology course can practice in most states but its important to make sure you understand your state regulations.

Foot Reflexology Regulations by State
Brandon Raynor doing foot massage

Overview by Category

1. Licensed Reflexology (Own Board or Under Massage Board)

These states require certification/licensure specific to reflexology, typically with 200‑hour training and exam:

  • Washington – Certification via WA Dept. of Health; 200 hrs, jurisprudence exam, CE & renewal
  • North Dakota – Licensed reflexologists; board-regulated
  • Tennessee – “Registered Certified Reflexologists”; 200 hrs training, no disease claims
  • New Hampshire – Licensed; 200 hrs + national exam

2. Reflexology Exempt from Massage Licensing

Reflexology is not regulated separately and doesn’t require massage licensure in these states: 

Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nevada, New Jersey, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Dakota, Texas, Utah, Virginia, and Wisconsin 

3. No Massage or Reflexology Licensing Laws

These states have no applicable regulation for reflexology:

Kansas, Minnesota,  Vermont and Wyoming

 

Individual State Links For More Details

U.S. States (50)
  1. Alabama
  2. Alaska
  3. Arizona
  4. Arkansas
  5. California
  6. Colorado
  7. Connecticut
  8. Delaware
  9. Florida
  10. Georgia
  11. Hawaii
  12. Idaho
  13. Illinois
  14. Indiana
  15. Iowa
  16. Kansas
  17. Kentucky
  18. Louisiana
  19. Maine
  20. Maryland
  21. Massachusetts
  22. Michigan
  23. Minnesota
  24. Mississippi
  25. Missouri
  26. Montana
  27. Nebraska
  28. Nevada
  29. New Hampshire
  30. New Jersey
  31. New Mexico
  32. New York
  33. North Carolina
  34. North Dakota
  35. Ohio
  36. Oklahoma
  37. Oregon
  38. Pennsylvania
  39. Rhode Island
  40. South Carolina
  41. South Dakota
  42. Tennessee
  43. Texas
  44. Utah
  45. Vermont
  46. Virginia
  47. Washington
  48. West Virginia
  49. Wisconsin
  50. Wyoming
U.S. Inhabited Territories (5)
  1. American Samoa
  2. Guam
  3. Northern Mariana Islands
  4. Puerto Rico
  5. U.S. Virgin Islands
  6.  Washington D.C

For Regulations and Laws about Massage Therapy in Each State in the United States Please Click Here