Though training standards in the massage field are not always uniform, an increased interest in massage therapy has caused professional standards for both therapists and massage training to advance over the past few years. As such, the majority of people entering the field of massage therapy complete some kind of education or training program.

Training is most commonly offered at one of the many massage schools that are now available to those who wish to enter the massage profession. Most massage schools offer a well-rounded curriculum that teaches aspiring therapists about the muscles and anatomy of the human body. Instruction also includes the theory and practice of massage, kinesiology, and business practices. Certain programs teach students different types of massage, while some programs teach only one specialty.

Massage schools typically offer part-time, full-time, and/or distance learning programs, and some massage schools also provide students with hands-on experience through various clinics. Admission requirements for massage schools vary depending upon the school. In most cases, a high school diploma will suffice.

In some states, certification is required. To become certified, massage therapists are required to take a certification exam known as the National Certification Exam for Therapeutic Massage and Bodywork.

Those taking the exam are tested in six different areas: therapeutic massage assessment, therapeutic massage application, physiology and kinesiology, pathology, anatomy, and finally, professional standards, ethics, business, and legal practices.

Eligibility requirements for the exam vary. Some states require 300 to 1,000 hours of training, while other states require graduation from an accredited massage school or training program. In some cases, an apprenticeship can be substituted for a massage school education.

Once certified, massage therapists must renew the credential every four years. To remain certified, at least 200 hours of therapeutic massage must be preformed in the four-year period. A minimum of 48 hours of continuing education every four years is also required.