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Arizona State Board of Massage Therapy
  • Home
  • About
    • Contact Us
    • Board Members
    • DeRoest, S. Bailey, Public Member
    • Vacant., Public Member
    • Mhoon, Myriah, Public Member
    • Reiter, Angela M, LMT
    • Tapscott, Michael K., LMT
    • Fiscal Year 2023 budget Submission
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Directory

Find a Massage Therapist, & View Disciplinary Actions

To check application status, click Application Status Search Tool...

See Directory

Forms

Forms

Criminal Reporting, Change of Address, Name Change, Verification, ...

Apply Here

File a Complaint

Complaint Form

Please use the Board's online link to submit your written...

File a Complaint

For Applicants

Mandatory Criminal Reporting

Pursuant to A.R.S.

  • Read more about Mandatory Criminal Reporting

State of Arizona Verification and Volunteer Health Services Registration

Please use the "Request Verification Form" to request verification of your Arizona license be sent to another jurisdiction/licensing board.

ONLINE REQUEST VERIFICATION -

  • Read more about State of Arizona Verification and Volunteer Health Services Registration

Name Change and Replacement/Duplicate License Requests

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Name Change Form" link to complete and submit your name change and supporting documentation:

ONLINE NAME CHANGE FORM -

  • Read more about Name Change and Replacement/Duplicate License Requests

Renewal License Application

RENEWAL PAYMENT ONLY - 

  • Read more about Renewal License Application

Change of Address

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Address Change Form" link to complete and submit your change of address:

ONLINE ADDRESS CHANGE -

  • Read more about Change of Address

Forms

Criminal Reporting, Change of Address, Name Change, Verification, Duplicate License

PDF icon Initial Application Checklist
PDF icon Statement of Citizenship - Pdf Fillable Format
PDF icon Verification of Non-Arizona Massage License - Pdf Fillable Format
  • Read more about Forms
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Contact Us
Arizona State Board of Massage Therapy
1740 West Adams, Suite 3401
Phoenix, Arizona 85007
To contact Board staff,
email [email protected]
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