Use this form and send it to [email protected] to request verification of your Arizona license be sent to another jurisdiction, or send it via regular mail to 1740 W. Adams Street, Ste. 3401, Phoenix, AZ 85007.
Name Change and Replacement/Duplicate License Requests
Please use these documents to request a new wall certificate, a wallet license due to a name change, or to request multiple wall certificates for multiple offices or to replace a lost or misplaced license.
The Arizona State Board of Massage Therapy Renewal Application is availble below in a pdf fillable format. Please type your answers into the pdf fillable form and submit your completed application to the Board's office. You can submit your application in one of two ways - by regular mail or by email ([email protected]).