DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
MASSAGE THERAPY - GENERAL RULES  
Filed with the secretary of state on April 1, 2021  
These rules take effect immediately upon filing with the secretary of state unless  
adopted under section 33, 44, or 45a(6) of the administrative procedures act of 1969,  
1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections  
become effective 7 days after filing with the secretary of state.  
(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)  
R 338.701, R 338.722, R 338.724, R 338.726, R 338.732, R 338.734, R 338.735, R 338.736,  
R 338.737, R 338.738, R 338.739, R 338.741, and R 338.751 of the Michigan Administrative  
Code are amended, R 338.702 and R 338.722a are added, and R 338.752 is rescinded, as  
follows:  
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.  
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:  
August 28, 2020  
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(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.  
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.  
338.722a Supervised curriculum for students enrolled on or after January 10, 2020;  
requirements.  
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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.  
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  
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.  
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  
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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  
http://www.chea.org. The federal recognition criteria may also be obtained at no cost from  
the website for the United States Department of Education Office of Postsecondary  
Education at http://www.ed.gov/about/offices/list/OPE/index.html.  
PART 3. LICENSURE  
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:  
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(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.  
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.  
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.  
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.  
R 338.737 Licensure by endorsement; requirements.  
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.  
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(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.  
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.  
(a) Application and fee: submit a  
completed application on a form  
provided by the department, together  
with the required fee.  
Lapsed  
less than  
3 years  
Lapsed 3 years  
or more  
√
√
√
√
(b) 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.  
(c) Fingerprints: submit fingerprints as  
required under section 16174(3) of  
the code, MCL 333.16174.  
√
√
(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  
√
relicensure.  
(e) Examination: passage of the  
√
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examination approved pursuant to R  
338.734 within 3 years of  
relicensure.  
(f) 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 his  
or her Michigan license lapse and is currently  
licensed in another state, country,  
jurisdiction, territory, or province  
(a) Application and fee: submit a  
completed application on a form  
provided by the department, together  
with the required fee.  
Lapsed  
less than  
3 years  
Lapsed 3 years  
or more  
√
√
√
√
(b) 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.  
(c) Fingerprints: submit fingerprints as  
required under section 16174(3) of  
the code, MCL 333.16174.  
√
√
(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  
√
relicensure.  
(e) 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,  
√
√
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verification must include the record  
of any disciplinary action taken or  
pending against the applicant.  
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.  
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.  
(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 The  
number  
of  
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program or activity related to the practice of massage continuing  
education  
therapy, or any non-clinical subject relevant to massage hours earned is the  
therapy practice, education, administration, management, number of hours  
or science, which includes, but is not limited to, live, in- approved by the sponsor  
person programs; interactive or monitored teleconference, or the approving  
audio-conference, or web-based programs; online organization  
programs; and journal articles or other self-study programs specific program  
for  
the  
or  
approved or offered by any of the following:  
The NCBTMB, or a sponsor approved by the  
NCBTMB.  
activity. A maximum of  
18 hours of continuing  
education may 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 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 Two hours of continuing  
related to the practice of massage therapy provided to a education are earned for  
state, regional, national, or international massage therapy each 50 to 60 minutes of  
organization.  
presentation.  
additional credit is earned  
To receive credit, the presentation must not be a part of the for preparation of  
No  
a
licensee’s regular job description and must be approved or presentation. A maximum  
offered for continuing education credit by any of the of 6 hours of continuing  
following:  
education may be earned  
for this activity in each  
renewal period.  
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.  
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.  
(c) Initial presentation of a scientific exhibit, poster, scientific Two hours of continuing  
paper, or clinical demonstration to a massage therapy education are earned for  
organization.  
each 50 to 60 minutes of  
10  
presentation.  
To receive credit, the presentation must not be part of the additional credit is earned  
licensee’s regular job description or performed in the for preparation of  
normal course of the licensee’s employment. presentation. A maximum  
of 6 hours of continuing  
No  
a
If audited, the licensee shall submit a copy of the education may be earned  
document presented with evidence of presentation or a for this activity in each  
letter from the program sponsor verifying the length and renewal period.  
date of the presentation.  
(d) Initial publication of an article related to the practice of One hour of continuing  
massage therapy in a non-peer reviewed journal or education is earned for  
newsletter.  
each article. A maximum  
of 6 hours of continuing  
If audited, the licensee shall submit a copy of the education may be earned  
publication that identifies the licensee as the author or a for this activity in each  
publication acceptance letter.  
renewal period.  
(e) Initial publication of a chapter related to the practice of Five hours of continuing  
massage therapy in either of the following:  
A professional or health care textbook.  
A peer-reviewed textbook.  
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 One hour of continuing  
related to clinical or professional practice.  
education is earned for  
each 50 to 60 minutes  
If audited, the licensee shall submit a completed spent  
experiential activity form provided by the department for researching,  
identifying,  
and  
each issue or event.  
resolving the issue or  
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, Five hours of continuing  
council, or association related to the field of massage education are earned for  
therapy. A committee, board, council, or association is each committee, board,  
considered acceptable by the board if it enhances the council, or association. A  
participant’s knowledge and understanding of the field of maximum of 10 hours of  
massage therapy.  
continuing education may  
be earned for this activity  
If audited, the licensee shall submit documentation in each renewal period.  
verifying the licensee’s participation in at least 50% of the  
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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.  
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.  
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.  
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 One hour of continuing  
professional colleagues.  
education is earned for  
each 50 to 60 minutes of  
If audited, the licensee shall submit an affidavit from the participation.  
A
colleague that was involved in the peer supervision or maximum of 6 hours of  
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 continuing  
multidisciplinary conferences, for training purposes.  
education is earned for  
each 50 to 60 minutes of  
If audited, the licensee shall submit a letter from the participation.  
A
administrative or clinical supervisor verifying the types of maximum of 4 hours of  
conferences and the number of hours the licensee spent continuing education may  
participating in the conferences.  
be earned for this activity  
in each renewal period.  
(k) Providing individual supervision for a student in One hour of continuing  
supervised curriculum beyond the hours required by R education is earned for  
338.722. Supervision provided as part of a disciplinary each 50 to 60 minutes of  
sanction may be included under this activity.  
supervision  
provided  
beyond the hours of  
If audited, the licensee shall submit an affidavit from the supervision required per  
student who received the supervision. The affidavit must month. A maximum of 6  
attest to the licensee’s role as a supervisor and the number hours  
of  
continuing  
of hours the licensee spent providing supervision to the education may be earned  
student.  
for this activity in each  
renewal period.  
(l) Participation in a panel discussion relevant to the practice One hour of continuing  
of massage therapy in an approved continuing education education is earned for  
program or an organized health care setting.  
each 50 to 60 minutes  
12  
spent participating in the  
If audited, the licensee shall submit documentation from panel discussion.  
A
the organizer of the panel discussion verifying the topic of maximum of 4 hours of  
the panel discussion and the number of hours the licensee continuing education may  
spent participating in the discussion.  
be earned for this activity  
in each renewal period.  
(m) Obtaining a new or participation in training to maintain One hour of continuing  
cardiopulmonary resuscitation or bloodborne pathogen education is earned for  
certification.  
each 50 to 60 minutes of  
participation.  
A
If audited, the licensee shall submit a copy of a certificate maximum of 4 hours of  
of completion showing the licensee’s name, number of continuing education may  
continuing education hours earned, sponsor name, and the be earned for this activity  
date on which the program was held or activity completed. in each renewal period.  
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.  
(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.  
R 338.752 Rescinded.  
;