DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
MASSAGE THERAPY - GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16287, 17959, 17961, 17963, and 17965 of the public  
health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16287, 333.17959, 333.17961,  
333.17963, and 333.17965, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-  
1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
PART 1. GENERAL RULES  
R 338.701 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Board" means the Michigan board of massage therapy created under section 17955  
of the code, MCL 333.17955.  
(b) “Classroom instruction” means 50 to 60 minutes of educational instruction, which  
constitutes 1 hour of classroom instruction, earned in compliance with the requirements of  
section 17959(3) of the code, MCL 333.17959.  
(c) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(d) "Department" means the department of licensing and regulatory affairs.  
(e) “Members of the public” mean individuals who are not currently enrolled in the  
massage therapy student’s supervised curriculum.  
(2) Except as otherwise defined in these rules, the terms defined in the code have the  
same meaning when used in these rules.  
History: 2012 AACS; 2017 AACS; 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.702 Telehealth.  
Rule 2. (1) Consent for treatment must be obtained before providing a telehealth  
service pursuant to section 16284 of the code, MCL 333.16284.  
(2) Evidence of consent for treatment must be maintained in a patient’s medical record  
and retained in compliance with section 16213 of the code, MCL 333.16213.  
(3) A massage therapist providing any telehealth service shall do both of the following:  
(a) Act within the scope of his or her practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person health care  
service.  
History: 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.703 Rescinded.  
Page 1  
History: 2012 AACS; 2017 AACS.  
R 338.704 Rescinded.  
History: 2017 AACS; 2019 AACS.  
R 338.705 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.707 Rescinded.  
History: 2012 AACS; 2019 AACS.  
R 338.709 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.711 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.713 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.715 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.717 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.719 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
Page 2  
R 338.721 Rescinded.  
History: 2012 AACS; 2017 AACS.  
PART 2. EDUCATION  
R 338.722 Supervised curriculum for students enrolled before August 1, 2017; for  
students enrolled on or after August 1, 2017 but before January 10, 2020; requirements.  
Rule 22. (1) As used in the rule, “supervised curriculum” means a massage therapy  
curriculum that meets the requirements of this rule and is taught in a school as defined in  
section 17951(1)(e) of the code, MCL 333.17951.  
(2) For students enrolled before August 1, 2017, a supervised curriculum must include, at a  
minimum, 500 hours of courses or coursework and both of the following:  
(a) Classroom instruction including both of the following:  
(i) Forty hours performing massage therapy services for members of the public in a  
supervised student clinic that meets all of the requirements of R 338.724.  
(ii) Two hundred hours of massage and bodywork assessment, theory, and application  
instruction.  
(b) Classroom instruction including all of the following:  
(i) One hundred twenty-five hours of instruction on the body systems that include  
anatomy, physiology, and kinesiology.  
(ii) Forty hours of pathology.  
(iii) Ten hours of business, professional practice, or ethics instruction with a minimum of  
6 hours in ethics.  
(iv) Eighty-five hours of instruction in an area or related field, as determined by the  
school, that completes the massage therapy program of study.  
(3) For students enrolled on or after August 1, 2017 but before January 10, 2020, a  
supervised curriculum must include, at a minimum, 625 hours of courses or coursework and  
both of the following:  
(a) Classroom instruction including both of the following:  
(i) Forty hours performing massage therapy services for members of the public in a  
supervised student clinic that meets all of the requirements of R 338.724.  
(ii) Two hundred hours of massage and bodywork assessment, theory, and application  
instruction.  
(b) Classroom instruction including all of the following:  
(i) One hundred twenty-five hours of instruction on the body systems that include  
anatomy, physiology, and kinesiology.  
(ii) Forty hours of pathology.  
(iii) Ten hours of business, professional practice, or ethics instruction with a minimum of  
6 hours in ethics.  
(iv) Two hundred ten hours of instruction in an area or related field, as determined by the  
school, that completes the massage therapy program of study.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
Page 3  
R 338.722a Supervised curriculum for students enrolled on or after January 10,  
2020; requirements.  
Rule 22a. (1) As used in this rule, “supervised curriculum” means a massage therapy  
curriculum that meets the requirements of this rule and is approved by the board pursuant to  
R 338.726.  
(2) For students enrolled on or after January 10, 2020, a supervised curriculum must  
include, at a minimum, 625 hours of courses or coursework and satisfy both of the following:  
(a) Classroom instruction including both of the following:  
(i) Seventy-five hours performing massage therapy services for members of the  
public in a supervised student clinic that meets all of the requirements of R 338.724.  
(ii) Two hundred hours of massage and bodywork assessment, theory, and  
application instruction.  
(b) Classroom instruction including all of the following:  
(i) One hundred twenty-five hours of instruction on the body systems that include  
anatomy, physiology, and kinesiology.  
(ii) Forty hours of pathology.  
(iii) Twenty-five hours of business, professional practice, or ethics instruction with a  
minimum of 10 hours in ethics.  
(iv) One hundred sixty hours of instruction in an area or related field, as determined by  
the school, that completes the massage therapy program of study.  
History: 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.723 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
R 338.725 Rescinded.  
History: 2012 AACS; 2017 AACS.  
R 338.724 Supervised student clinic; requirements.  
Rule 24. (1) A student shall have completed a minimum of 20 hours of courses or  
coursework in pathology before participating in a supervised student clinic.  
(2) A supervised student clinic must satisfy all of the following requirements:  
(a) If a student was enrolled before January 10, 2020, all supervised clinic hours must  
be held on school premises. If the student was enrolled on or after January 10, 2020, a  
minimum of 55 supervised clinic hours must be held on school premises. A maximum of 20  
supervised clinic hours may be held off school premises.  
(b) The clinic must be supervised by a licensed massage therapist who is a faculty  
member of the school offering the supervised curriculum. The supervising massage therapist  
Page 4  
shall be present on the premises and be readily accessible to the students at all times during  
the clinic.  
(c) The ratio of students to supervising massage therapists must not exceed 15 students  
to 1 supervising massage therapist.  
(3) A supervising massage therapist shall ensure that a student possesses the  
appropriate education, experience, and skills before allowing the student to provide a  
massage to any member of the public during a supervised student clinic.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.726 Educational standards; adoption by reference.  
Rule 26. The board approves a massage therapy supervised curriculum that meets the  
requirements of R 338.722a and complies with 1 of the following:  
(a) Is offered by a National Certification Board for Therapeutic Massage and Bodywork  
(NCBTMB) assigned school that is researched and approved by the NCBTMB and meets the  
NCBTMB’s minimum curriculum requirements.  
(b) Is accredited by the accrediting body of the region in which the institution is located  
and the accrediting body meets either the recognition standards and criteria of the Council for  
Higher Education Accreditation (CHEA) or the recognition procedures and criteria of the  
United States Department of Education. The board adopts by reference the procedures and  
criteria for recognizing accrediting agencies of the United States Department of Education,  
effective July 1, 2010, as contained in 34 CFR 602 (2010), and the policies and procedures  
for recognition of accrediting organizations of the CHEA, effective September 24, 2018.  
Copies of the standards and criteria of the CHEA and the United States Department of  
Education are available for inspection and distribution at a cost of 10 cents per page from the  
Board of Massage Therapy, Bureau of Professional Licensing, Department of Licensing and  
Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909. The  
CHEA recognition standards may also be obtained at no cost from the council’s website at  
the website for the United States Department of Education Office of Postsecondary  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.727 Rescinded.  
History: 2012 AACS; 2017 AACS; 2019 AACS.  
PART 3. LICENSURE  
R 338.731 Rescinded.  
History: 2017 AACS; 2019 AACS.  
Page 5  
R 338.732 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 32. (1) Pursuant to sections 16148 and 17060 of the code, MCL 333.16148 and  
333.17060, an individual who is licensed or seeking licensure shall complete training in  
identifying victims of human trafficking that meets the following standards:  
(a) Training content that covers all of the following:  
(i) Understanding the types and venues of human trafficking in the United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for adults  
and minors.  
(iv) Identifying resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the board for  
initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking that  
meets the requirements of subdivision (a) of this subrule and is published in a peer review  
journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training.  
If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of the  
following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of article,  
author, publication name of peer review journal, health care journal, or professional or  
scientific journal, and date, volume, and issue of publication, as applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements specified  
in subrule (1) of this rule apply to all license renewals and for initial licenses issued after  
March 14, 2022.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
Page 6  
R 338.733 Rescinded.  
History: 2017 AACS; 2019 AACS.  
R 338.734 Examinations; passing scores.  
Rule 34. An applicant for licensure shall pass either of the following:  
(a) The Massage and Bodywork Licensure Examination (MBLEX), or its replacement,  
offered by the Federation of State Massage Therapy Boards (FSMTB). The passing score for  
the MBLEX is the passing score recommended by the FSMTB.  
(b) The National Certification Examination for Therapeutic Massage and Bodywork  
(NCETMB) offered by the National Certification Board for Therapeutic Massage and  
Bodywork (NCBTMB), if taken before November 1, 2014. The passing score for the  
NCETMB is the passing score recommended by the NCBTMB.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.735 Licensure; massage therapist; requirements.  
Rule 35. An applicant for a massage therapist license by examination shall submit the  
required fee and a completed application on a form provided by the department. In addition  
to satisfying the requirements of the code and these rules, the applicant shall satisfy both of  
the following requirements:  
(a) Have successfully completed a supervised curriculum that satisfies the requirements  
in R 338.722 or R 338.722a, as applicable.  
(b) Pass an examination required under R 338.734.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.736 Foreign-trained applicants; licensure; requirements.  
Rule 36. An applicant for a massage therapist license who completed a massage therapy  
curriculum outside of the United States shall submit the required fee and a completed  
application on a form provided by the department. In addition to satisfying the requirements  
of the code and these rules, the applicant shall satisfy all of the following requirements:  
(a) Have successfully completed a massage therapy curriculum that is substantially  
equivalent to a supervised curriculum that meets the requirements in R 338.722 or R  
338.722a, as applicable. Evidence of having completed a massage therapy curriculum that is  
substantially equivalent to a supervised curriculum includes an evaluation of the applicant’s  
education by a recognized and accredited credential evaluation agency that is a member of  
the National Association of Credential Evaluation Services.  
(b) Pass an examination required under R 338.734.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.737 Licensure by endorsement; requirements.  
Page 7  
Rule 37. (1) An applicant for a license by endorsement shall hold an active massage  
therapist license or registration in another state, country, jurisdiction, territory, or province at  
the time of application, be of good moral character, and be at least 18 years of age.  
(2) The applicant shall submit the required fee and a completed application on a form  
provided by the department.  
(3) An applicant who has held an active massage therapist license in another state,  
country, jurisdiction, territory, or province for 3 years or more preceding the date of  
application satisfies the requirements for licensure pursuant to section 19759(2) of the code,  
MCL 333.17959.  
(4) An applicant who has held an active massage therapist license in another state,  
country, jurisdiction, territory, or province for less than 3 years immediately preceding the  
date of application shall satisfy both of the following requirements:  
(a) Have successfully completed a supervised curriculum that meets the requirements  
in R 338.722, R 338.722a, or R 338.736(a), as applicable.  
(b) Have passed an examination required under R 338.734.  
(5) An applicant shall have his or her license, certification, or registration in good  
standing verified by the licensing, certifying, or registering agency of each state, country,  
jurisdiction, territory, or province in which the applicant holds, or has ever held, a license,  
certification, or registration as a massage therapist. If applicable, verification must include  
the record of any disciplinary action taken or pending against the applicant.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.738 Relicensure.  
Rule 38. An applicant whose license has lapsed may be relicensed upon submission  
of the appropriate documentation as noted in the table below:  
(1) For a massage therapist who has let  
his or her Michigan license lapse and is not  
currently licensed in another state country,  
jurisdiction, territory, or province.  
Lapsed  
less than  
3 years  
Lapsed 3 years  
or more  
Application and fee: submit a  
(a)  
completed application on a form  
provided by the department, together  
with the required fee.  
Good moral character: establish  
that he or she is of good moral  
character as defined under sections 1  
to 7 of 1974 PA 381, MCL 338.41 to  
338.47.  
(b)  
Fingerprints: submit fingerprints  
as required under section 16174(3)  
of the code, MCL 333.16174.  
Continuing education: submit  
proof of having completed 45 hours  
of continuing education that satisfy  
(c)  
(d)  
Page 8  
the requirements of R 338.739 and R  
338.741 in courses and programs  
approved by the board and earned  
within the 3-year period immediately  
preceding the application for  
relicensure.  
Examination: passage of the  
examination approved pursuant to R  
(e)  
(f)  
338.734 within  
relicensure.  
3
years of  
License  
verification:  
an  
applicant’s license in good standing  
must be verified by the licensing  
agency of each state, country,  
jurisdiction, territory, or province in  
which the applicant holds or ever  
held a license as a massage therapist.  
If applicable, verification  
must  
include the record of any disciplinary  
action taken or pending against the  
applicant.  
(2) For a massage therapist who has let  
Lapsed  
less than  
3 years  
Lapsed 3 years  
or more  
his or her Michigan license lapse and is  
currently licensed in another state, country,  
jurisdiction, territory, or province  
Application and fee: submit a  
(a)  
completed application on a form  
provided by the department, together  
with the required fee.  
Good moral character: establish  
that he or she is of good moral  
character as defined under sections 1  
to 7 of 1974 PA 381, MCL 338.41 to  
338.47.  
(b)  
Fingerprints: submit fingerprints  
as required under section 16174(3) of  
the code, MCL 333.16174.  
(c)  
(d)  
Continuing education: submit  
proof of having completed 45 hours  
of continuing education that satisfy  
the requirements of R 338.739 and R  
338.741 in courses and programs  
approved by the board and earned  
within the 3-year period immediately  
preceding the application for  
Page 9  
relicensure.  
License  
verification:  
an  
(e)  
applicant’s license in good standing  
must be verified by the licensing  
agency of each state, country,  
jurisdiction, territory, or province in  
which the applicant holds or ever  
held a license as a massage therapist.  
If applicable, verification  
must  
include the record of any disciplinary  
action taken or pending against the  
applicant.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.739 License renewals; massage therapist; requirements; applicability.  
Rule 39. (1) An applicant for license renewal shall accumulate not less than 18 hours  
of continuing education in activities approved by the board under these rules during each  
license cycle.  
(2) Submission of an application for renewal constitutes the applicant’s certification of  
compliance with the requirements of this rule. A licensee shall retain documentation of  
meeting the requirements of this rule for a period of 5 years from the date of application for  
license renewal. Failure to comply with this rule is a violation of section 16221(h) of the  
code, MCL 333.16221.  
(3) The requirements of this rule do not apply if a licensee has been licensed for less  
than 3 years.  
(4) A request for a waiver pursuant to section 16205 of the code, MCL 333.16205, must  
be received by the department before the expiration date of the license.  
(5) The department may select and audit a sample of licensees who have renewed their  
licenses and request proof of compliance with subrule (1) of this rule.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
PART 4. CONTINUING EDUCATION  
R 338.741 Acceptable continuing education; requirements; limitations.  
Rule 41. (1) A licensee may not earn more than 12 hours of continuing education during  
a 24-hour period.  
(2) A licensee may not earn credit for a continuing education program or activity that is  
identical or substantially identical to a program or activity the licensee has already earned  
credit for during that license cycle.  
(3) The continuing education credit hours earned during 1 license cycle may not be  
carried forward to the next license cycle.  
Page 10  
(4) A licensee may not earn credit for continuing education programs or activities that  
primarily focus on practices excluded from licensure under section 17957 of the code, MCL  
333.17957.  
(5) A licensee shall earn at least 1 hour of continuing education in the area of pain and  
symptom management. Continuing education hours in pain and symptom management may  
include, but are not limited to, courses in behavior management, behavior modification,  
stress management, and clinical applications, as they relate to professional practice.  
(6) A licensee shall earn at least 2 hours of continuing education in the area of  
professional ethics or boundaries.  
(7) The board approves any of the following as acceptable continuing education:  
ACCEPTABLE CONTINUING EDUCATION ACTIVITIES  
Activity and Proof Required  
Number of continuing  
education hours earned  
per activity  
(a)  
Attendance at or participation in a continuing  
education program or activity related to the practice of  
massage therapy, or any non-clinical subject relevant to  
massage therapy practice, education, administration,  
The number of  
continuing education  
hours earned is the  
number of hours  
management, or science, which includes, but is not limited approved by the sponsor  
to, live, in-person programs; interactive or monitored or the approving  
teleconference, audio-conference, or web-based programs; organization for the  
online programs; and journal articles or other self-study  
programs approved or offered by any of the following:  
The NCBTMB, or a sponsor approved by the  
NCBTMB.  
The FSMTB, or a sponsor approved by the FSMTB.  
A massage therapy school or program approved  
pursuant to R 338.726.  
specific program or  
activity. A maximum of  
18 hours of continuing  
education may be earned  
for this activity in each  
renewal period.  
If audited, the licensee shall submit a copy of a letter  
or certificate of completion showing the licensee’s name,  
number of continuing education hours earned, sponsor  
name or the name of the organization that approved the  
program or activity for continuing education credit, and  
the date on which the program was held or activity  
completed.  
(b)  
Initial presentation of a continuing education program  
related to the practice of massage therapy provided to a  
state, regional, national, or international massage therapy  
organization.  
Two hours of  
continuing education are  
earned for each 50 to 60  
minutes of presentation.  
No additional credit is  
To receive credit, the presentation must not be a part of earned for preparation of  
the licensee’s regular job description and must be a presentation. A  
approved or offered for continuing education credit by any maximum of 6 hours of  
of the following:  
continuing education may  
Page 11  
The NCBTMB, or a sponsor approved by the  
NCBTMB.  
be earned for this activity  
in each renewal period.  
The FSMTB, or a sponsor approved by the FSMTB.  
A massage therapy school or program approved  
pursuant to R 338.726.  
If audited, the licensee shall submit a copy of the  
presentation notice or advertisement showing the date of  
the presentation, the licensee’s name listed as a presenter,  
and the name of the organization that approved or offered  
the presentation for continuing education credit.  
Initial presentation of a scientific exhibit, poster,  
scientific paper, or clinical demonstration to a massage  
therapy organization.  
(c)  
Two hours of  
continuing education are  
earned for each 50 to 60  
minutes of presentation.  
No additional credit is  
earned for preparation of  
a presentation. A  
To receive credit, the presentation must not be part of  
the licensee’s regular job description or performed in the  
normal course of the licensee’s employment.  
maximum of 6 hours of  
continuing education may  
be earned for this activity  
in each renewal period.  
If audited, the licensee shall submit a copy of the  
document presented with evidence of presentation or a  
letter from the program sponsor verifying the length and  
date of the presentation.  
(d)  
(e)  
Initial publication of an article related to the practice of  
massage therapy in a non-peer reviewed journal or  
newsletter.  
One hour of  
continuing education is  
earned for each article. A  
maximum of 6 hours of  
continuing education may  
be earned for this activity  
in each renewal period.  
If audited, the licensee shall submit a copy of the  
publication that identifies the licensee as the author or a  
publication acceptance letter.  
Initial publication of a chapter related to the practice of  
massage therapy in either of the following:  
A professional or health care textbook.  
A peer-reviewed textbook.  
Five hours of  
continuing education are  
earned for serving as the  
primary author. Two  
hours of continuing  
education are earned for  
serving as the secondary  
author.  
If audited, the licensee shall submit a copy of the  
publication that identifies the licensee as the author or a  
publication acceptance letter.  
(f)  
Identifying, researching, and resolving an event or  
issue related to clinical or professional practice.  
One hour of  
continuing education is  
earned for each 50 to 60  
minutes spent identifying,  
researching, and  
If audited, the licensee shall submit a completed  
experiential activity form provided by the department for  
each issue or event.  
resolving the issue or  
Page 12  
event. A maximum of 5  
hours of continuing  
education may be earned  
for this activity in each  
renewal period.  
(g)  
Participating on a state or national committee, board,  
council, or association related to the field of massage  
therapy. A committee, board, council, or association is  
considered acceptable by the board if it enhances the  
participant’s knowledge and understanding of the field of  
massage therapy.  
Five hours of  
continuing education are  
earned for each  
committee, board,  
council, or association. A  
maximum of 10 hours of  
continuing education may  
be earned for this activity  
If audited, the licensee shall submit documentation  
verifying the licensee’s participation in at least 50% of the in each renewal period.  
regularly scheduled meetings of the committee, board,  
council, or association.  
(h)  
Participating on any of the following:  
A peer review committee dealing with quality patient  
care as it relates to the practice of massage therapy.  
A committee dealing with utilization review as it  
relates to the practice of massage therapy.  
A health care organization committee dealing with  
patient care issues related to the practice of massage  
therapy.  
Five hours of  
continuing education are  
earned for participating  
on a committee. A  
maximum of 10 hours of  
continuing education may  
be earned for this activity  
in each renewal period.  
If audited, the licensee shall submit a letter from an  
organization official verifying the licensee’s participation  
on the committee.  
(i)  
Participating in peer supervision or consultation with  
professional colleagues.  
One hour of  
continuing education is  
earned for each 50 to 60  
minutes of participation.  
A maximum of 6 hours of  
If audited, the licensee shall submit an affidavit from  
the colleague that was involved in the peer supervision or  
consultation. The affidavit must attest to the licensee’s role continuing education may  
and the number of hours the licensee spent participating in be earned for this activity  
these activities.  
in each renewal period.  
(j)  
Participating in case conferences, including  
One hour of  
multidisciplinary conferences, for training purposes.  
continuing education is  
earned for each 50 to 60  
minutes of participation.  
If audited, the licensee shall submit a letter from the  
administrative or clinical supervisor verifying the types of A maximum of 4 hours of  
conferences and the number of hours the licensee spent  
participating in the conferences.  
continuing education may  
be earned for this activity  
in each renewal period.  
One hour of  
(k)  
Providing individual supervision for a student in  
Page 13  
supervised curriculum beyond the hours required by R  
338.722. Supervision provided as part of a disciplinary  
sanction may be included under this activity.  
continuing education is  
earned for each 50 to 60  
minutes of supervision  
provided beyond the  
hours of supervision  
required per month. A  
maximum of 6 hours of  
continuing education may  
be earned for this activity  
in each renewal period.  
One hour of  
If audited, the licensee shall submit an affidavit from  
the student who received the supervision. The affidavit  
must attest to the licensee’s role as a supervisor and the  
number of hours the licensee spent providing supervision  
to the student.  
(l)  
Participation in a panel discussion relevant to the  
practice of massage therapy in an approved continuing  
education program or an organized health care setting.  
continuing education is  
earned for each 50 to 60  
minutes spent  
If audited, the licensee shall submit documentation  
from the organizer of the panel discussion verifying the  
topic of the panel discussion and the number of hours the  
licensee spent participating in the discussion.  
participating in the panel  
discussion. A maximum  
of 4 hours of continuing  
education may be earned  
for this activity in each  
renewal period.  
(m)  
Obtaining a new or participation in training to maintain  
cardiopulmonary resuscitation or bloodborne pathogen  
certification.  
One hour of  
continuing education is  
earned for each 50 to 60  
minutes of participation.  
A maximum of 4 hours of  
continuing education may  
be earned for this activity  
in each renewal period.  
If audited, the licensee shall submit a copy of a  
certificate of completion showing the licensee’s name,  
number of continuing education hours earned, sponsor  
name, and the date on which the program was held or  
activity completed.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
PART 5. PROFESSIONAL ETHICS  
R 338.751 Professional ethics.  
Rule 51. A licensee shall maintain professional boundaries and exercise professional  
ethics in all interactions including, but not limited to, the following:  
(a) The licensee shall provide high quality care within the boundaries of the licensee’s  
professional competence, based on education, training, and experience. This includes, but is  
not limited to, the licensee only providing massage therapy services that ensure the safety of  
and benefit to the client. The licensee shall refer the client to other healthcare professionals  
when appropriate for the client’s health and well-being.  
(b) The licensee shall respect the client’s right to modify or discontinue any massage  
therapy treatment at any time.  
Page 14  
(c) The licensee shall not engage in harassment or discrimination based on age, gender,  
gender identity, race, ethnicity, national origin, religion, sexual orientation, disability, or any  
basis proscribed by law.  
(d) The licensee shall terminate a massage therapy session with a client who suggests or  
requests that the licensee engage in conduct that is inappropriate, unsafe, or unethical.  
(e) The licensee shall not solicit or engage in sexual conduct with a current client,  
supervisee, or student.  
(f) The licensee shall not exploit a current or former client, supervisee, or student to  
further the licensee’s personal, religious, political, business, or financial interests.  
(g) The licensee shall keep and maintain an understandable record for each client in  
compliance with the requirements of section 16213 of the code, MCL 333.16213.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.752 Rescinded.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
Page 15