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How to Start a Massage Business in Hawaii

Massage therapy is the one trade in this cluster with its own board, its own statute and its own calendar. The Board of Massage Therapy, inside the Department of Commerce and Consumer Affairs, licenses therapists under chapter 452 of the Hawaii Revised Statutes on a training standard of 570 hours: 50 of anatomy, physiology and structural kinesiology, 100 of theory and demonstration, and 420 of supervised practical work, with a current adult and infant CPR certificate on top and the state licensing examination behind it. The initial license totals $214 in the first half of a biennium or $132 in the second, and every massage license in the state expires on June 30 of even-numbered years, the opposite years from the beauty trades. The premises are licensed separately: a massage therapy establishment license, $189 or $107 on the same cycle, premises under the direct management of a designated principal massage therapist. Renewal carries the cluster's only continuing education requirement, twelve hours a biennium. Underneath sit the standard Hawaii filings: a $50 LLC, a $15 annual report due at the end of your registration quarter, a $50 trade name for five years, and the general excise tax on every massage receipt. This guide walks the route in order.

Hawaii sources last reviewed: November 3, 2026

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Who regulates massage therapy in Hawaii

The Board of Massage Therapy, placed within the Department of Commerce and Consumer Affairs and administered through its Professional and Vocational Licensing Division, regulates massage under chapter 452 of the Hawaii Revised Statutes and the board's rules at title 16, chapter 84 of the Hawaii Administrative Rules. The board's own definition sets the trade's boundary: massage, massage therapy and therapeutic massage mean any method of treatment of the superficial soft parts of the body, consisting of rubbing, stroking, tapotement, pressing, shaking or kneading with the hands, feet, elbow or arms. The system the board runs is a two license system, a therapist license for the person and a massage therapy establishment license for the premises, and the two run on a biennium that ends June 30 of even-numbered years, a calendar massage shares with nothing else in this cluster.

Two boundary lines matter from the start. The first runs between massage therapy and the beauty trades: the esthetician definition includes massaging the face, scalp and neck as part of skin services, and the nail technician definition includes massaging the hands, arms, legs and feet as part of nail services, but standalone massage sold as massage is chapter 452 work, and a spa menu that crosses the line needs the licenses on both sides of it. The second is internal: Hawaii does not merely license massage premises, it requires them to be run by a licensee, the principal massage therapist described below. Around the board sit the general agencies: the Business Registration Division for the entity and trade name, the Department of Taxation for the excise tax, the Department of Labor and Industrial Relations for employment, and the county for zoning.

Hawaii massage at a glance

ItemHawaii rule
RegulatorBoard of Massage Therapy, Department of Commerce and Consumer Affairs, under HRS chapter 452 and HAR title 16, chapter 84
Therapist training570 hours: 50 anatomy, physiology and structural kinesiology; 100 theory and demonstration; 420 practical, in school or as a registered apprentice over at least six months
Additional requirementCurrent adult and infant CPR certification from the American Red Cross or American Heart Association; online CPR courses not accepted
ExaminationThe Hawaii massage licensing examination, administered by PSI, after the board approves the completed education
Therapist license cost$50 application; initial license $214 in the first half of the biennium or $132 in the second half
Establishment licenseRequired for massage premises, under a designated principal massage therapist: $189 first half of the biennium or $107 second half
RenewalAll massage licenses expire June 30 of even-numbered years
Continuing education12 hours in the two years before renewal, including 2 hours of first aid, CPR or other emergency-related coursework; random board audits
Tax on servicesGeneral excise tax at 4 percent plus a 0.5 percent county surcharge, on gross receipts; license $20 one time on Form BB-1
LLC and trade nameArticles of Organization $50; annual report $15 by the end of the registration quarter; trade name $50 for five years
Minimum wage$16.00 an hour from January 1, 2026; $18.00 from January 1, 2028

The massage therapist license, step by step

The 570 hours are prescribed in components, and the board's instructions make the applicant prove each one. Fifty hours are in-class study of anatomy, physiology and structural kinesiology. One hundred hours are in-class theory and demonstration, covering proper massage procedure, record keeping, hygiene, theory, technique for specific conditions, contraindications, draping and assessment. The remaining 420 hours are practical training, taken either as a student in a licensed massage school under a teacher or as a massage therapist apprentice under the board's apprentice program over at least six months, and composed of 70 hours of clinical operations, 30 of sanitation, 30 of office procedures and 10 of record keeping, 40 hours of advanced techniques split between observation and consulting, and 310 hours of hands-on supervised massage with record keeping. Schools must be licensed by the Department of Education or an equivalent agency, part of the University of Hawaii, or approved by the board, and apprenticeship hours earned outside Hawaii are not acceptable. There is no grandfather provision: every applicant meets the current standard.

Around the hours sit the personal requirements. The applicant must be eighteen or older and a United States citizen, national, or alien authorized to work in the United States; a person who is not may sit for the examination but may not be issued the license. The CPR requirement is specific: a current, unexpired adult and infant CPR certificate from the American Red Cross or the American Heart Association, valid when the license issues, with online courses expressly not accepted. Only after the board approves the education does the applicant sit for the Hawaii massage licensing examination, administered by PSI; the board's instructions build the route around Hawaii's own examination and provide no substitution pathway. The fees are printed on the board's forms: a $50 non-refundable application fee, a $32 license fee, and compliance resolution fund charges that follow the biennium, $100 in its first half and $50 in its second, with a $32 half renewal in the first half, for initial totals of $214 in the first half and $132 in the second. Every massage license, whenever issued, expires June 30 of even-numbered years.

CredentialTraining or requirementInitial costCycle
Massage therapist570 hours as prescribed, CPR certificate, state examination$214 first half / $132 second half of the bienniumExpires June 30, even-numbered years
Massage therapist apprenticeRegistered with the board; the 420 practical hours over at least six monthsRegistration required; see board instructionsWithin the therapist application
Massage therapy establishmentPremises license under a designated principal massage therapist$189 first half / $107 second halfExpires June 30, even-numbered years
Workshop approvalBoard approval for massage workshops$50 applicationValid through June 30 of even-numbered years

Renewal is where Hawaii's massage system differs from its beauty system in kind, not just in dates. Since the biennium that began July 1, 2022, under Act 102 of 2021, a therapist renewing an active license must complete at least twelve hours of continuing education in the two years before renewal, of which two hours must be first aid, CPR or other emergency-related courses. The board may audit licensees at random, and an audited licensee must respond within 60 days, so course records are renewal documents. A lapse longer than one year requires a new application meeting the current requirements, with the board able to waive the written examination on written request supported by documentation. A massage business therefore runs two evidence files per therapist, the CPR certificate's validity and the biennium's CE hours, both checked against a June 30 deadline.

The massage therapy establishment license

The premises license is the massage therapy establishment license: an establishment is any premises occupied and used for the practice of massage or massage therapy training, and the license is required for all permanent fixed locations, an office being the board's example, and all other premises where massage is performed on a regular basis, with open-air markets, farmers markets, swap meets, flea markets, shopping center booths, tents and cabanas named in the board's instructions. An establishment in a residential building must be set apart from the residence and used for no other purpose. The system's center is the principal massage therapist: no establishment may be licensed or operate unless the business is under the direct management of a Hawaii licensed massage therapist designated as the principal massage therapist and recorded with the board, and any change in personnel must be reported to the board in writing within 48 hours on form MA-12. The licensed manager is a condition of the premises license itself.

The fees follow the biennium like the therapist's: $189 if the license issues in the first half, July 1 of an even-numbered year through June 30 of an odd-numbered year, built from a $25 non-refundable application fee, a $32 license fee, a $100 compliance resolution fund charge and a $32 half renewal, or $107 in the second half, when the fund charge is $50. Relocation is priced separately: the same owner moving to a different location files with a $25 application fee, and a change of physical address requires a new establishment application with the $25 fee and supporting documentation. The establishment license expires with the therapists' licenses on June 30 of even-numbered years. For a spa or salon adding massage, the consequence is simple: the massage rooms need this license and a principal massage therapist of their own, in addition to the beauty shop license the rest of the premises carries.

Forming your business: the LLC

Hawaii entity filings go to the Business Registration Division of the Department of Commerce and Consumer Affairs, and the division's chapter 428 fee schedule prices the limited liability company at Articles of Organization $50 and an annual report of $15. The annual report is due by the end of the calendar quarter in which the company was registered, the quarter containing the registration anniversary, each year, so the formation month fixes the filing season permanently. The schedule also lists a name reservation at $10, articles of amendment at $25, and the certificate of good standing, the Certificate of Compliance, at $5. The massage system's own structure makes the entity choice worth a moment's thought: the establishment license requires a licensed principal massage therapist managing the business, but it does not require the owner to be the therapist, so an investor-owned massage business is possible in Hawaii with a licensee in the management seat, and the LLC is the usual vehicle for it. Form the company before the establishment application, and keep the certificate current for landlords and banks.

Registering your business name

A trade name is registered with the Business Registration Division on Form T-1 under chapter 482, at $50 for a five year term, renewable at $50 for further five year terms. The registration is constructive notice of the registrant's claim of use of the name throughout Hawaii for the term, provided the name remains in actual use, and it does not grant ownership of the name, a limit the division's instructions state directly. Form T-1 is not the way to name a new LLC, whose name is registered in its Articles of Organization; it registers the trading name when the studio's sign differs from the entity name, the common case for massage brands. The Department of Taxation tracks names in parallel: an additional business name or location takes a branch general excise tax license on Form G-50 at no additional charge, and the GET license must be displayed at each place of business. Register the name early, because landlords, booking platforms and the board's establishment file will all carry it.

Getting your EIN

The Employer Identification Number is free from the IRS, issued immediately through the online application, and it is the identity the massage business's Hawaii accounts share. The Department of Taxation issues the general excise tax license from the state's Basic Business Application, Form BB-1, and the Department of Labor and Industrial Relations describes the unemployment insurance status report as filed on the same Form BB-1 with the State Tax Office, so the sequence is EIN first, in the LLC's exact registered name, then BB-1, alongside the board's therapist and establishment filings. No intermediary is needed for any step. Keep the IRS confirmation with the Articles of Organization, the trade name certificate and the establishment license, the standing file the business produces for landlords, insurers and booking partners.

The general excise tax on massage receipts

Massage receipts are taxed in Hawaii on the same terms as salon receipts, because the general excise tax follows gross business income and not license categories. Hawaii has no sales tax; the GET under chapter 237 is imposed on the business on its gross income, the total receipts before any deduction, and the Department of Taxation's published summary taxes sales of goods and services and services and professional fees alike, with all gross receipts taxable unless a specific exemption applies. A massage session is therefore a taxable service receipt at 4 percent plus the 0.5 percent county surcharge levied in all four counties, a combined 4.5 percent, and retail product sales take the same rate.

The business registers once on Form BB-1 for a one-time $20 license fee, displays the license at each place of business, and files periodic returns on Form G-45 by expected annual liability: monthly with electronic filing required above $4,000 of expected annual tax, quarterly up to $4,000, semiannual up to $2,000, each due twenty days after the period ends, with the annual Form G-49 due on the twentieth day of the fourth month after the tax year ends. A return is due even in a period with no income. Passing the tax on to the client is permitted within the department's published maximum rates, 4.712 percent where the surcharge applies, but the liability is the business's and amounts passed on are themselves taxable gross income.

Renting a treatment room in Hawaii

Room rental is common in massage, and Hawaii's two license system defines what each side holds. The therapist's license is personal: her own current massage therapist license, with its CPR certificate and continuing education behind it. The premises side belongs to the establishment: the room sits inside a massage therapy establishment license held by the host business, operating under its designated principal massage therapist. There is no separate renter license or room permit to obtain, and no way for a therapist to make an unlicensed room lawful by renting it: a treatment room in a building with no establishment license is not a licensed massage premises, however professional the setup. The establishment license is what the renter is really renting a share of, alongside the room.

The money runs through the general excise tax on both sides of the lease. The renter's session receipts are her own taxable gross income under her own GET license, taken on Form BB-1 for the one-time $20 fee, and the host's rental income is taxable gross income to the host, commonly with the tax passed on within the rent; the written agreement should fix the rent, state whether tax is inside it, and allocate the establishment duties, including who is the principal massage therapist for the premises and how the 48 hour personnel change reporting is handled when therapists join or leave. Classification follows conduct: the therapist who sets her prices, keeps her own book and receipts and pays a fixed rent is an independent business practicing inside a licensed establishment, while the therapist the business schedules, prices and pays is an employee, with the $16.00 minimum wage in 2026 and $18.00 in 2028 behind the label. Therapists whose practice is entirely outcall, at clients' locations, work under their personal license; the establishment license attaches to premises used on a regular basis, and a practice with no regular premises of its own should confirm its position with the board, whose instructions address fixed locations.

Hiring massage therapists: wages, unemployment and Hawaii mandates

Employed therapists are paid under the Department of Labor and Industrial Relations' wage framework: $16.00 an hour from January 1, 2026, rising to $18.00 from January 1, 2028; overtime generally after forty hours in a workweek under chapter 387; paydays at least twice a month, within seven days after the end of each pay period; and a minimum civil penalty of $500 for wage and hour violations. Per-session pay plans are tested against the hourly floor each pay period, including the unpaid gaps between sessions, which is where imported pay plans most often fail.

The employer's registrations open with the first hire: a status report within twenty days, described by the department as filed on Form BB-1 with the State Tax Office; registration in the unemployment system; and quarterly reports on Form UC-B6 due by the end of the month after each quarter, including quarters with no paid employees. New employers pay a flat contribution rate for approximately their first two years. Two Hawaii mandates complete the budget: prepaid health care under chapter 393, coverage for employees working twenty or more hours a week, and temporary disability insurance under chapter 385, both administered by the Department of Labor and Industrial Relations. The establishment also staffs against its license: the principal massage therapist must remain a Hawaii licensee in direct management, and personnel changes are reported within 48 hours, so a departure at the top is a licensing event as well as a hiring one.

The local layer: counties, zoning and premises

Zoning, building permits, signage and change of use belong to the counties, the City and County of Honolulu, Maui County, Hawaii County and Kauai County, and a massage establishment must fit the commercial zoning of its parcel, a check worth making early because massage uses draw local conditions in some districts. The state's premises review runs through the establishment license itself: the premises are licensed by the Board of Massage Therapy, an establishment in a residential building must be set apart and used for no other purpose, and the board's instructions extend the license to market stalls, booths, tents and cabanas where massage is performed regularly, so event and resort formats are licensed rather than informal. Licenses are displayed at the place of business, including the general excise tax license. One county fact is uniform: the 0.5 percent county surcharge inside the GET is levied by all four counties, which sets the combined rate on massage receipts at 4.5 percent statewide.

Insurance for a Hawaii massage business

Chapter 452 and the board's instructions read for this guide set no liability insurance minimum for a massage therapist or an establishment, which makes the program a lease and judgment matter, and massage carries a distinctive risk profile to judge: injury claims from deep tissue work, contraindication failures with medically complex clients, and professional boundary complaints lead the pattern. A professional liability policy written for massage therapy is the core purchase, with general liability at the limits the landlord sets and property coverage for tables, equipment and fit-out. Therapists renting rooms inside an establishment should confirm in writing whether the host's policy reaches their work; ordinarily it does not, and each therapist carries her own professional coverage. The principal massage therapist structure adds a management exposure the establishment's policy should contemplate, since the licensee in charge answers to the board for the premises. On the employment side, workers compensation insurance is a statutory duty for Hawaii employers, and the prepaid health care and temporary disability systems are insurance arrangements administered under the Department of Labor and Industrial Relations.

Renewal and filing calendar

ItemWhenNotes
Therapist license renewalJune 30 of even-numbered yearsBiennial; 12 hours of continuing education, including 2 of first aid or CPR, completed in the two years before renewal
Establishment license renewalJune 30 of even-numbered yearsSame expiry as the therapists; the principal massage therapist designation must stay current
Personnel change reports, Form MA-12Within 48 hours of the changeFiled with the board for establishment personnel changes
CPR certificationKept current at all timesAdult and infant CPR from the Red Cross or American Heart Association; online courses not accepted
LLC annual report, $15By the end of the calendar quarter containing the registration anniversaryFiled with the Business Registration Division each year
GET periodic returns, Form G-45Monthly, quarterly or semiannual by liability; due 20 days after the periodMonthly with e-filing required above $4,000 of expected annual tax; a zero return is still required
GET annual return, Form G-49Twentieth day of the fourth month after the tax year endsApril 20 for calendar year filers
Unemployment reports, Form UC-B6April 30, July 31, October 31, January 31Due every quarter for employers, including quarters with no paid employees
Trade name renewal, $50Every five yearsRenew with the Business Registration Division before the term lapses

The massage calendar runs on even years while the beauty trades run on odd ones.

Official sources

Hawaii massage FAQ

How many hours does a Hawaii massage therapist need?

570 hours, completed before the board approves the applicant for the licensing examination: 50 hours of in-class anatomy, physiology and structural kinesiology, 100 hours of in-class theory and demonstration, and 420 hours of practical training as a student in a licensed massage school or as a registered massage apprentice over at least six months. A current adult and infant CPR certificate is also required, and online CPR courses are not accepted.

How much does the Hawaii massage therapist license cost?

The application fee is $50, with a $32 license fee and compliance resolution fund charges that depend on where in the biennium the license issues: the initial license totals $214 if issued in the first half of the biennium, July 1 of an even-numbered year through June 30 of an odd-numbered year, or $132 in the second half. All massage licenses expire June 30 of even-numbered years.

Does a massage business need an establishment license in Hawaii?

Yes. A massage therapy establishment license is required for premises where massage is practiced, and the establishment must be under the direct management of a Hawaii licensed massage therapist designated as the principal massage therapist and recorded with the board. The establishment license costs $189 in the first half of a biennium or $107 in the second half, on the board's application.

What continuing education does Hawaii require for massage renewal?

At least twelve hours in the two years preceding renewal, of which two hours must be first aid, CPR or other emergency-related courses, under the requirement Act 102 of 2021 wrote into section 452-16. The board may audit licensees at random, and an audited licensee must respond within 60 days.

Does Hawaii tax massage services?

Yes. Hawaii has no sales tax; the general excise tax is imposed on the business on its gross receipts, and the Department of Taxation taxes services at 4 percent plus the 0.5 percent county surcharge levied in all four counties, with all gross receipts taxable unless a specific exemption applies. The business registers on Form BB-1 for a one-time $20 license fee.