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Exam Review

Key Facts: MO Massage Law Exam

500

Education Hours Required

RSMo Section 324.265

12

CE Hours Per Renewal

Every 2 years (odd years)

$100

License Renewal Fee

Individual therapist

70%

Passing Score

State jurisprudence exam

$125

Business Renewal Fee

Establishment registration

Sample MO Massage Law Practice Questions

Try these sample questions to review concepts for the MO Massage Law exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 300+ question experience with AI tutoring.

1How many total supervised instruction hours are required for massage therapy licensure in Missouri?
A.400 hours
B.500 hours
C.600 hours
D.750 hours
Explanation: Under RSMo Section 324.265, Missouri requires 500 hours of supervised instruction for massage therapy licensure. This includes 300 hours of massage theory and practice, 100 hours of anatomy and physiology, and 100 hours split between business/ethics/law and ancillary therapies.
2Which agency oversees massage therapy licensing in Missouri?
A.Missouri Department of Health and Senior Services
B.Missouri Board of Therapeutic Massage
C.Missouri Board of Healing Arts
D.Missouri Division of Professional Registration
Explanation: The Missouri Board of Therapeutic Massage, under the Division of Professional Registration, is the regulatory body specifically responsible for licensing and regulating massage therapists in the state. The Board sets standards, processes applications, and enforces regulations.
3Of Missouri's 500 required training hours, how many must be dedicated to massage theory and practice techniques?
A.100 hours
B.200 hours
C.300 hours
D.400 hours
Explanation: Missouri law requires that 300 of the 500 supervised instruction hours be dedicated to massage theory and practice techniques. The remaining hours cover anatomy/physiology (100 hours), business/ethics/law (50 hours), and ancillary therapies including CPR and first aid (50 hours).
4How many continuing education hours must a Missouri massage therapist complete for license renewal?
A.6 hours every year
B.12 hours every 2 years
C.24 hours every 2 years
D.16 hours every 2 years
Explanation: Missouri requires massage therapists to complete 12 continuing education units (CEUs) every two years, due by January 31st of every odd year. CEU courses must be from providers approved by the NCBTMB or other board-recognized organizations.
5Under Missouri law, what is the license renewal fee for a massage therapist?
A.$50
B.$75
C.$100
D.$150
Explanation: The renewal fee for a Missouri massage therapy license is $100. This fee is paid biennially when renewing the license. A separate business establishment fee of $125 also applies for massage therapy businesses.
6According to Missouri statutes, which of the following is included in the definition of massage therapy?
A.Diagnosis of illness or disease
B.Spinal or joint manipulation
C.Treatment of soft tissues using hands, forearms, elbows, or feet
D.Prescription of medication for pain relief
Explanation: Missouri defines massage therapy as involving the treatment of the body's tonus system through touching, rubbing, pressing, or other movements of the soft tissues using hands, forearms, elbows, or feet, or with mechanical apparatus. The definition explicitly excludes diagnosis, spinal manipulation, and medication prescription.
7Which of the following practitioners is exempt from Missouri massage therapy licensure requirements?
A.A massage therapist who only works weekends
B.A person who restricts manipulation of soft tissues to the hands, feet, or ears
C.A massage therapist with fewer than 5 clients per week
D.A massage therapist who only performs Swedish massage
Explanation: Under RSMo Section 324.265, persons who restrict their manipulation of the soft tissues of the human body to the hands, feet, or ears (such as reflexologists) are exempt from massage therapy licensure in Missouri. This exemption recognizes these as separate modalities.
8Under Missouri law, what services require a separate professional license and are NOT within a massage therapist's scope of practice?
A.Application of hot or cold packs
B.Use of mechanical massage devices
C.Chiropractic spinal manipulation
D.Stretching and range of motion exercises
Explanation: Missouri law explicitly states that massage therapy does not include any service for which a license to practice medicine, chiropractic, physical therapy, or podiatry is required. Chiropractic spinal manipulation requires a chiropractic license and is outside the scope of massage therapy.
9How many hours of Missouri's 500-hour education requirement must be dedicated to anatomy and physiology?
A.50 hours
B.75 hours
C.100 hours
D.150 hours
Explanation: Missouri requires 100 of the 500 supervised instruction hours to be dedicated to the study of anatomy and physiology. This ensures massage therapists have adequate knowledge of the body's structures and functions to practice safely and effectively.
10A Missouri massage therapist receives a client complaining of severe lower back pain radiating down their leg. What is the most appropriate response under Missouri law?
A.Diagnose the condition as sciatica and treat accordingly
B.Perform deep tissue massage focused on the lower back
C.Refer the client to a physician for evaluation before providing massage
D.Prescribe over-the-counter pain medication before treatment
Explanation: Missouri law prohibits massage therapists from diagnosing illness or disease. Severe radiating pain may indicate a serious condition such as sciatica or disc herniation that requires medical evaluation. The appropriate action is to refer the client to a physician, as diagnosis is outside the massage therapy scope of practice.

About the MO Massage Law Exam

The Missouri massage therapist jurisprudence exam tests knowledge of state-specific laws governing massage therapy practice under RSMo Chapter 324 and 20 CSR 2197 Board regulations. Topics include licensing requirements, scope of practice, continuing education, disciplinary procedures, and professional standards.

Exam sponsor: Missouri Board of Therapeutic Massage. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

50 questions

Time Limit

90 minutes

Passing Score

70%

Exam / Certification Fees

$100

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30%

State Laws & Regulations

RSMo Chapter 324, Board of Therapeutic Massage rules, licensing requirements, education mandates, and renewal procedures

25%

Scope of Practice

Definition of massage therapy, excluded services, exemptions from licensure, and practice limitations

20%

Professional Ethics & Boundaries

Informed consent, draping requirements, sexual misconduct prevention, dual relationships, and confidentiality

15%

Business & Advertising Requirements

Establishment licensing, advertising standards, record-keeping obligations, and fee structures

10%

Health & Safety Standards

Sanitation, hygiene, infection control, communicable disease protocols, and treatment space requirements

Preparing for the MO Massage Law Exam

What You Need to Know

  • Passing score: 70%
  • Exam length: 50 questions
  • Time limit: 90 minutes
  • Exam / certification fees: $100 Official sources

Using Our Practice Resources

  • Work through all 300 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

MO Massage Law: Suggested Study Strategy

1Study RSMo Chapter 324 (Sections 324.240-324.275) thoroughly — this is the primary statute governing massage therapy in Missouri
2Memorize the education hour breakdown: 300 massage theory, 100 anatomy, 50 business/ethics/law, 50 ancillary therapies
3Know the specific exemptions from licensure — these are frequently tested topics
4Understand what services are excluded from the scope of massage therapy (diagnosis, spinal manipulation, medication)
5Review the MOPRO online system requirements that took effect in January 2025

Frequently Asked Questions

What education is required for a Missouri massage therapy license?

Missouri requires 500 hours of supervised instruction: 300 hours in massage theory and practice, 100 hours in anatomy and physiology, 50 hours in business/ethics/hygiene/law, and 50 hours in ancillary therapies including CPR and first aid.

What is the Missouri massage therapy license renewal process?

Missouri massage therapists must complete 12 CEU hours by January 31st of every odd year. CEU courses must be from NCBTMB-approved or board-recognized providers. The renewal fee is $100 for individual therapists and $125 for business establishments.

What is the passing score for the Missouri massage therapy exam?

The passing score is 70%. In addition to the state jurisprudence requirements, applicants must also pass the national MBLEx exam administered by the FSMTB.

Who is exempt from Missouri massage therapy licensure?

Exemptions include persons acting under another Missouri state license within their scope, reflexologists limited to hands/feet/ears, movement educators, and persons who manipulate only above the neck, below the elbow, and below the knee without disrobing the client.

What disciplinary actions can the Missouri Board take?

The Board can impose fines, formal reprimands, mandatory counseling, probation, practice restrictions, temporary suspensions, or license revocation. Common grounds include sexual misconduct, practicing outside scope, criminal convictions, and sanitation violations.