Exam facts & prep options

State of Texas Massage Therapist Examination

The State of Texas Massage Therapist Examination is a TDLR-approved route for satisfying the state's massage-therapist examination requirement. It is a closed-book, computer-based PSI exam with 100 scored and 10 unscored multiple-choice items, 150 minutes of testing time plus 15 minutes for instructions, a 70% passing score, and a USD 60 fee. Applicants may instead qualify through the MBLEx plus the Texas Massage Therapist Jurisprudence Exam.

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Questions100 scored items plus 10 non-scored items (110 total); the State of Texas exam covers both practical subjects and Texas laws and rules (replacing the separate jurisprudence exam for its takers)
Testing time150 minutes for the scored items plus 15 minutes added for the non-scored items (165 minutes total item time); the computer tutorial (up to 15 minutes) does not count toward examination time
Scoring70% correct required to pass the State of Texas exam; MBLEx-path applicants instead pass the MBLEx (rank 343) plus the Texas Jurisprudence Exam
Exam feeUSD 60 examination fee for the State of Texas Massage Therapist Examination, paid to PSI; fees are non-refundable and non-transferable and are forfeited if the candidate does not test within 1 year of payment (the separate TDLR license application fee is not part of the exam fee; the MBLEx path is paid to FSMTB and the Jurisprudence Exam fee is paid separately through TDLR's online catalog)

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Exam overview

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Who runs it
TDLR
Category
Massage Therapy
Current version
Current Candidate Information Bulletin updated August 1, 2026; closed-book exam based on a published reference list that includes Texas Administrative Code Chapter 117; no separately versioned exam blueprint is published beyond the current content outline
Where it applies
US-TX, United States
Exam languages
English, Spanish
Score scale
Percent correct; score displayed on screen immediately after completion, with a diagnostic report by examination type for unsuccessful candidates
Testing provider
PSI Services LLC (TDLR's exam delivery vendor); the Texas Jurisprudence Exam is instead delivered through TDLR's online catalog vendor (eStrategy Solutions)
Format
Computer-based, closed-book, at PSI test centers located in Texas only (no out-of-state testing); one question at a time with remaining minutes displayed; English or Spanish delivery
Availability
After TDLR approval of eligibility, candidates receive an email with scheduling instructions and may test unlimited times through their eligibility period; candidates may reschedule without penalty with notice at least 2 days before the appointment
Results
Score displayed on screen immediately at the end of the exam; official score report printed at the examination site; unsuccessful candidates receive a diagnostic report of strengths and weaknesses
Score validity
Licensure eligibility requires passing an acceptable exam within the last two years (with completion of at least 500 hours of coursework)

Exam structure

One closed-book, computer-based exam of 100 scored multiple-choice items (plus 10 non-scored items) across nine subject areas: Swedish Massage Therapy Techniques and Theory 38%; Anatomy 12%; Kinesiology 12%; Pathology 11%; Physiology 6%; Laws and Rules 8%; Ethics 5%; Health, Hygiene, and Universal Precautions 4%; Hydrotherapy 4%. The Laws and Rules content is why state-exam takers are exempt from the separate Texas Jurisprudence Exam

Where rules vary

Texas state licensure examination required by TDLR for the Massage Therapist license under Texas Occupations Code Chapter 455 and Texas Administrative Code Chapter 117; the exam reference list cites Texas Administrative Code Chapter 117 and candidates must test at PSI centers in Texas

Eligibility

TDLR eligibility approval and a submitted license application before exam scheduling; completion of an approved massage therapy studies program of at least 500 hours per Texas Administrative Code 117.20 (for the state exam path the hours may be completed at a college or an out-of-state school rather than a Texas-licensed massage school); fingerprinting is required before a license is issued

Retake policy

Unlimited testing attempts through the eligibility period (a separate fee per attempt); free rescheduling with notice at least 2 days before the appointment; exam fee forfeited if the candidate does not test within 1 year of payment