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Summer  2019 Newsletter
Presidents Address

Deb Kilty, RI Chapter President 

Happy Summer RI! My favorite time of year! 
Family, Friends, Fun & Sun!
Springtime was busy with travels Alexandria, Virginia for the  International Massage Therapy Research Conference(IMTRC) in May  and the AMTA Leadership Planning and Training Meeting in  June at AMTA National Headquarters in Evanston, Illinois.

The Massage Therapy Foundation puts on the IMTRC every 
3 years, this year, it being so close to home, the RI chapter was privileged to have  4 representatives in attendance. There were many outstanding presenters with topics  ranging from massage therapy research and arthritis to the opioid crisis. It was very 
informative. If you'd like more information please use this link:
There were a few firsts for this years' planning and training meeting! This was the  first year that chapter Financial Administrators and Government Relations Chairs  were invited to attend. This year's meeting included an update of AMTA initiatives  and separate breakout sessions for chapter presidents, financial administrators and 
government relations chairs.
For the first time there was a keynote speaker to kick off this meeting! Sarah Thomas,  the first female referee in the NFL opened this year's event. The title of her talk was  "Simple Math" C heck out her examples of " simple math " they are very interesting.
At the June meeting we were updated on the consumer research surveys conducted  for AMTA. Here is a link to the AMTA website for detailedinformation:   https://www.amtamassage.org/research/Consumer-Survey-Fact-Sheets.html?src=navdropdown

A couple of key points:

  • 19% of the adult population in the U.S. had a massage in 2018 ,roughly 47.5 million people having a total of 214 million massages. 
  • Revenue attributed to the massage industry from consumers in 2018 was 18.4 billion dollars, this is larger than the revenue generated by the entire NFL in 2018!
  • Primary reasons for receiving a massage in 2018: 41% for health or medical!
AMTA announced at this meeting that they have begun a pilot program for sharing chapter  volunteer resources. This means that a volunteer from another chapter can now volunteer  with a different chapter. Example: someone that is a RI chapter member moves to Massachusetts  but would like to continue to volunteer and help the RI chapter. Up until now this was not possible  according to the bylaws of AMTA. RI chapter is currently looking for a new volunteer to be Website Chairperson, we now can not only look within our own chapter but can seek out a volunteer from  another chapter. If you are interested in volunteering for this position or know someone that has an  affinity for technology and would consider sharing their expertise, please contact me or Kim Cook  for more information.
Earlier this Spring, Chapter Secretary, Kim Medeiros and I had the opportunity to meet with a  representative from the RI Small Business Administration, Lana Glovach. Ms. Glovach has written  an article for this newsletter, please see below. Also she has provided our chapter with links to  helpful resources for the small business owner in RI, use the following link to find these links on  the resources page of the RI chapter website: http://ri.wp.amtamassage.org/resources/
And finally, I would like to thank all of the members that took the time to answer the RI chapter  member survey that was sent out at the end of June. Your responses are valuable to your board  in determining the future of events for our members. There is a complete accounting of the survey  further on in this newsletter, but there was a large majority that would like to see the October  member meeting with vendors return, so in 2020 we are making that happen!
Thank you to all our volunteers for what they do every day to help make the RI chapter  successful and valued by our members! And thank you to all the members for your support!

Upcoming Meeting Dates

All AMTA-RI Chapter Board Meetings are
open to the public.

The following is a list of dates and times of upcoming board meetings:
September 4, 2019 7:30-9:30
October 30, 2019 7:30-9:30
December 4, 2019 7:30-9:30

Times and dates are subject to change.
Please contact our Secretary
Kimberly Medeiros  
at (860) 617-1546 or via email
at AMTA.RIsecretary@gmail.com
prior to any meeting for
confirmation on date, time and location.

Check in the next newsletter or on our website for future meeting dates.


Notice :  
The RI Chapter of the AMTA is seeking one or two volunteers for the Newsletter Editor & Website Chair positions. These volunteers should be detailed oriented, organized and have good computer skills. The chapter newsletter is published three times per year, the editor needs to communicate clearly with board members, volunteers, members and advertisers. The chapter newsletter is done completely online, there is no printing or mailing necessary. 

The website chair will be responsible for keeping the chapter website updated with events, photos and general information. 
If you have interest in volunteering some of your time for your chapter please contact:
Deb Kilty, chapter president at
AMTA.RIpresident@gmail.com regarding the newsletter editor position 
AMTA.RIfinancialad@gmail.com regarding the website chair position

"Volunteers are love in motion!" - Author Unknown

"I've learned that you shouldn't go through life with a catcher's mitt on both hands.  You need to be able to throw something back." - Maya Angelou

"Whatever community organization, whether it's a women's organization, or fighting for racial justice ... you will get satisfaction out of doing something to give back to the community that you never get in any other way." - Ruth Bader Ginsburg

Alda Cordeiro, Education Committee Chair
The Education Committee is currently working on contracting with presenters for two workshops this fall! Please keep an eye out for an email with details soon on a 1-day Reiki workshop in early October!

If you have any recommendations for possible future topics, feel free to send an email to Alda at justbreathemassage2@yahoo.com
Alda Cordeiro
Dale DeCelles
AMTA-RI Chapter Education Committee

Government Relations
Cassie Rawcliffe, Government Relations Chair
The accepted/approved amendments within the Licensing of Massage Therapy, was the collaborative efforts of massage therapists across Rhode Island to protect the public and to elevate our profession as it evolves. It was paramount that the coalition directly:
  • address and expand the current language within massage therapy's licensing act.
  • providing clear and concise definitions of massage therapy thereby eliminating any statutory confusion regarding the practice of massage therapy and what the profession constitutes.
  • distinguishing the difference/define between massage (i.e., the modality), massage therapy (i.e., the procedures massage therapists perform) and massage therapy as a licensed and regulated profession.
  • enables massage therapists the authority to define our scope of practice, free from requirements to obtain any additional occupational license as we are regulated under the Department of Health's Massage Therapy Examining Board.
  • further protect the public through clearly providing information regarding the services and responsibilities unique to a massage therapist.
  • creates standards for minimum competency, by the increase of entry-level massage therapy educational hours from 500 to 650.
  • Overall expansion of the powers and responsibilities of the Massage Therapy Board.
  • Protection of the public through the regulation of practice and recourse to effective disciplinary action by the Department of Health and the Massage Therapy Board.
  • Elimination of specific, exempt, unlicensed practices/professions from being listed within the massage therapy licensing act; all such practices/modalities are generally addressed within 23-20.8- 9 #1 or the unlicensed healthcare practices act, 23-74.
According to our scope of practice, m assage therapy does not encompass diagnosis or the prescribing of drugs or medicines, as well as other licensed healthcare practices. All listed amendments were presented in bills S 576 and H 6033 for the 2019 legislative session. Currently, there is no "clean" copy to review, but will be updated on the DOH website shortly. All changes are effective immediately.
Bottom Line:
1)      If you are already a licensed massage therapist in Rhode Island there is NOTHING you need to do other than get your 6 credits of continuing education each year. As a reminder 3 of those credits are offered for FREE by the Rhode Island chapter at the annual Spring Member Meeting.
2)      If you are a student currently enrolled in a massage therapy program in Rhode Island there is NOTHING you need to do. All the programs currently available in our state already surpass the new 650- hour requirement.
I want to thank all those individuals that were directly involved in making these changes and overall improvements to our statute. Their hard work and dedication over this past year was unbelievable and I am humble and grateful for such a positive experience.
Lastly, should you have any questions regarding our statute and need clarification, do not hesitate to call or reach out by email. Until our next adventure...

Be Well,
Cassie Rawcliffe, LMT/CMLDT
Government Relations Chair /Delegate AMTA RI Chapter

joanne lozy Awards 
Joanne Lozy, Awards Committee Chair
Awards and Recognitions
The April deadline for the Chapter Meritorious was met. I can not divulge the recipients name at this time. The Chapter Meritorious award will be presented at National Convention this coming October, 2019 in Indianapolis, Indiana. Please check the next newsletter to see the accomplishments of this note worthy individual. Read how they have helped your chapter and profession grow.
We are able to resume sending recognition certificates for significant anniversary members. Due to last years budget constraints 2018 certificates were not mailed. We recognize 15 years and greater of continuous membership with AMTA. 2018 and 2019 certificates and a letter were sent out in late June. If you had a significant anniversary in 2018 or are having one this year and didn't receive your recognition certificate please let me know. I have had some returned for incorrect addresses. Please remember to periodically check your information on file to make sure it's correct and up to date.
    35 YEARS                              30 YEARS
LINDA JAROS                     PAULINE LEDUC

                         25 YEARS                               
                   SUZANNE WILCOX   
                         20 YEARS
                 MARGARET ROSA

                         15 YEARS
KENJI OMORI                  FRED PIERCE
                    KELLY WATIER

Congratulations and thank you to all our special anniversary members of 2019, your years in the profession deserves recognition. We wish you continues success and longevity.
If you know one of these people please wish them a happy anniversary.
Two new opportunities available!! 

Holistic wellness center in turnkey location in Warwick has a treatment room available for rent by client, weekly or monthly. Practitioner must have own insurance and certificates/licenses needed. Work in a peaceful environment with like-minded people helping others achieve their goals physically and spiritually. 

Holistic wellness center in turnkey location in Warwick. Therapist must have Rhode Island license and insurance. Myofascial certification/experience preferred in addition to traditional massages. Work in a peaceful environment with like-minded people helping others achieve their goals physically and spiritually. Must be able to work days/weekends.

The Float Team
a:2258 Post Rd. Warwick, RI 02886
w:www.floatri.com e: info@floatri.com


The follow are the results from the RI Chapter Member Survey sent out June 28, 2019.  The percentages you see are based on the total number of members that responded to the survey.

  1. How valuable do you find each of the following within your chapter?
1  = 1 - Not at all valuable, 2 = 2, 3 = 3, 4 = 4, 5 = 5 - Very valuable





Educational programs





Government Relations





Access to research





Networking/Social Events





General Member Meetings





Website content





Volunteer Opportunities






2. Are you satisfied with one General Member meeting in the spring or would you like to see the October General Member Meeting with vendors brought back?

Spring Meeting Only
Spring and Fall Meeting
I do not attend meetings
3    What entices you most to attend the Annual General Member Voting Meeting each year in the Spring?
Free Continuing Education Credits
4.  How likely are you to do each of the following?
1  = 1 - Very unlikely, 2 = 2, 3 = 3, 4 = 4, 5 = 5 - Very likely
Recommend joining the AMTA RI chapter to friends or colleagues





Renew your membership





Attend upcoming RI chapter events





5.   Would you prefer Online Voting for RI Chapter Board members or Continue with Nominations from the floor at the Annual Voting Meeting?
Adopt Online Voting                           18         44.6%
Keep Floor Nominations                     18         44.6%
I wouldn't vote either way                     2         8.1%
Other (View all)                                     1         2.7%
               Totals                                     39         100%

Excerpt from AMTA Bylaws regarding adopting change to election procedures.   Section 11. Bylaws and Standing Rules

A. Chapters shall adopt and be governed by National Bylaws and be part of and  responsible to the National Association as provided for in these Bylaws.
B. Chapters may adopt Chapter Standing Rules as a subsidiary  addition to the  National Bylaws and Policy. Any such Chapter Standing Rules shall not be in  conflict with the National Bylaws governing chapters.

1. Proposed Standing Rule amendments affecting the powers and duties of  the Chapter Board, and nomination and election procedures shall be  approved by a two-thirds (2/3) majority vote of the assembly at a chapter  meeting.
Online elections is something that once it is changed it cannot be changed back and chapters do not have the option of running both online elections and floor nominations simultaneously, it's one or the other.

Since our membership is still very much split evenly on this issue the RI Chapter will continue with Floor Nominations as our way of voting for board members.  This chapter will continue to survey it's members on important issues such as online voting.  
6.    Which ways do you prefer we communicate with you? Please select all that apply.
Online newsletter
Website updates
7.  What suggestions do you have for us to improve the value of your membership?
Answers from the survey are bold:   
Responses to these comments are in parenthesis.               
More business/practice-oriented classes or workshops (This suggestion will be passed along to our education committee)
Keep providing top-notch education head of value price. Bring vendors to our meetings. Saves me money in the long run. (RI Chapter plans to bring back the October General Member Meeting with Vendors in 2020)
I look forward to the meetings and networking events.
Most people I know work 2 jobs and there's not much time for attending meetings/CEUs. I believe all states should be more even in what they expect from massage therapists, more talking about state requirements to change. RI you need first aid and CPR not in ct. some of us carry more than one state license. Again, very difficult. (This will be given to our Government Relations Chair to look into for exact requirements for RI and our surrounding New England States for clarification)
maybe offer 2 classes with 6-8 credits a year. (RI chapter offered 2 workshops in 2018; one 1-day cupping & a 2-day PNMT class; in 2019 we have already sponsored one 1-day workshop in May with Jeanne Coleman on Thai Foot Reflexology and our Education chair is currently working on contracting for two more workshops this fall! Stay tuned to your emails for more details)             
Regular (maybe weekly?) postings to FB that are either of general MT interest, or continued calls for volunteers. I see from the last newsletter that the chapter is looking for new website and newsletter volunteers. I would volunteer but am still in school at Bancroft's Wed/Sat program until 2/20 and can't add anything to my plate before then. (This is an excellent suggestions and we will strive to be better at regular postings to our social media platforms, life does sometimes get busy for all of our volunteers)       
Have not given too much thought to it
Revaluation after this next general voting meeting.
Use the meeting evaluation form for remarks, idea, feedback Be sure to remind members to fill in this area and why we need their input (this is also an excellent suggestion and we will be sure to add these comments to our evaluation after our Spring 2020 member meeting)
Take our chapter back from National and work within our membership. (As always, the RI chapter board and chairs work with and for our membership. The following is an excerpt from AMTA Bylaws:  
A. Chapters shall adopt and be governed by National Bylaws and be part of and  responsible to the National Association as provided for in these Bylaws.
The RI chapter of the AMTA is a part of a much larger association which guides and helps at the chapter level when ever needed. It's not a possibility to "Take our chapter back from National".)
You do a great job. I wish I could come up with a suggestion but can't think of anything offhand. (Thank you!)          
Much appreciation for everyone! (Thank you!)
Alternative meeting venues. (Since 2018 the RI chapter has been having educational workshops at a new venue; The Village at Waterman Lake. The 2019 Spring Members meeting was held at a new venue; The Holiday Inn South Kingstown, RI; If anyone should have suggestions for alternative venues your board would be happy to hear those suggestions. Any of the board can be contacted via the contact information on our website: http://ri.wp.amtamassage.org/board-of-directors/   There is also a list of board and chairpersons in this newsletter.)
Thank you to everyone that took the time to respond to this survey, your feedback is valuable!

In This Issue
Board of Directors:
Debbie Kilty

Roy Kenji Omori
Board Member

Victoria Moutahir
Board Member

Kimberly Medeiros (Gregorzek)

Kimberley Cook
Financial Administrator

Join us in Welcoming our New members: 

Michael Leverone              Tina Russell                  Stacey Patterson
Kalliah Burrell                   Sierra Mycroft                Emily McCaul    Samantha Bruce             Angelica Taraborelli         Anthony Conti  Daniel McGregor              Karen Whitfield             Kenny Charron
Ray Cadette                Jahphina Pearce-Almeida     Jessica Wood Maria Colon                 Dustin De Rochambeau      Norman Gibbs Gary Hiward                   Brian Harrington              Teri Brunette
Erica Starns                     Emily Desrosiers             Joan Teotonio  
Whitney Vaughn               Brittney Miller               John Paul Otero
Katherine Preite             Georgina Kalwak

Total RI Members: 564!!

Cassie Rawcliffe
Roy Kenji Omori
Board Member

Jennifer Wilkicki
Volunteer Coordinator

Claudia Botthof

Alda Cordeiro
Education Chairperson

Larry Gallagher

Angela Perry-Place
Twitter Administrator/Social Media Chair

Kim Gregorzek-Medeiros
Membership Committee: Senior members contact

Deb Kilty
Interim Newsletter Editor

Kimberley Cook
Financial Administrator
Website Chair
Michelle Souza
Membership Co-Chair
Stephanie Welsh
Membership Co-Chair

Pat Bachus

Membership Benefits

AMTA Offers the Strongest Benefits in the Profession!

From education to award-winning publications to broad liability insurance, AMTA membership gives you the tools you need to grow and thrive in the massage therapy profession.

In fact, 100 percent of your membership dues are invested back into you in the form of benefits and advocacy for the profession.

Questions? Call 1-877-905-0577 during business hours or email us.

Community Service Massage Team-Outreach Division
Larry Gallagher, CSMT Chair

Thank you to those that volunteered their time and talents at the 2019 Special Olympics! This is always a favorite event of the Rhode Island Chapter's Community Service Massage Team!
Kenji Omori
John Stacy 
 Kay Kreiger  
 Diane Myers 
  Cassie Rawcliffe

Our next events are:
Operation Stand Down  September 13 & 14, 2019; Diamond Hill State Park, Cumberland!  If you haven't already volunteered please contact me!  This is an amazing worthwhile event for Veterans in need! 

AND our newest volunteer opportunity!
The Good Life Expo at Johnson & Wales University! 
See notices below for complete details!

On behalf of the AMTA RI Chapter I would like to thank those who have already volunteered. Your talent and generosity is greatly appreciated. If you'd like to learn more or contact me for any reason, you may email me     at lgallagher22@verizon.net . Include the word "volunteer" in the subject line and I will respond as soon as possible.
CSMT chair-Larry Gallagher


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If you have any problems logging in to the AMTA
members-only section of the AMTA website, please
contact AMTA Member Experience at 1.877.905.2700
or email info@amtamassage.org

As the largest non-profit association for massage therapists, students and schools, AMTA is celebrating our rich history while looking to the future for exciting advancements.

Share your story of how AMTA has impacted you and your massage career and you might be featured in an upcoming AMTA publication!
Share your story now >


Greetings from the AMTA-RI Chapter Library!

Rent free educational DVDs, books, videos from the AMTA RI Chapter library! 

You will find a list of titles on the RI Chapter website  ri.amtamassage.org or simply call for information:    

Claudia Botthof, LMT
Unique Fitness & Massage Therapy
Phone: 615-2355
Text : 749-0176
How to
  Obtain A New Massage Therapy RI License Through Examiniation or Endorsement

Obtaining a license for massage therapy in the state of RI doesn't have to be a difficult process. There are many components to the application, but the Department of Health has made the clear checklist for new applicants. Whether you have recently graduated from an accredited school and passed the National MBLEx exam, or completed a comparable exam in a prior year but are looking to move your practice to Rhode Island, here are the simple steps to navigate yourself through the process:
  • Go to http://www.health.ri.gov/
  • Click on LICENSING
  • Under "What We License", click on Massage Therapists
  • Click on APPLICATION
  • Print and fill out a hard copy of the application and follow checklist on first page of the application
  • If you have just completed and passed the MBLEx, check "Massage Therapist by EXAMINATION"
  • If you have passed the MBLEx exam or comparable exam, and are looking to practicing massage in the state of RI and are coming from another state, check "Massage Therapist by ENDORSEMENT"


The RI statute governing the licensing of massage therapists was updated in 2013 to include a continuing education requirement for license renewal. The text of the statute reads:
§ 23-20.8-3 Practice of massage - Licensed required - Use of title limited - Qualifications for licenses continuing education - Fees.
(1) (d) The board shall, by rule, establish requirements for continued education. The board may establish suc h requirements to be completed and verified biennially or annually. The board shall require no more than twelve (12) hours biennially or six (6) hours annually.
(2) Applicants for licensure renewal shall meet continuing education requirements as prescribed by the board. On application for renewal of license, massage therapists shall attest to completion of six (6) hours annually in scope of practice-specific offerings that may include, but not be limited to: 
(i) Formal presentations; 
(ii) Conferences; 
(iii) Coursework from a regionally accredited college/university; and/or 
(iv) Self-study course, such as online courses awarding one education hour for each hour completed. 

Such programs or offerings shall be approved or sponsored by a board-approved organization. The board shall require no more than two (2) hours of ethics or standards of practice biennially. 

(3) A licensee who fails to complete the continuing education requirements described herein may be subject to disciplinary action pursuant to § 5-40-13 of this chapter. 

(4) A license may be denied to any applicant who fails to provide satisfactory evidence of completion of continuing education relevant to massage therapy as required herein. 

(5) The board may waive the requirement for these educational requirements if the board is satisfied that the applicant has suffered hardship, which may have prevented meeting the educational requirements.
When you received your application to renew your massage therapy license this year (valid July 1, 2019 through June 30, 2020), there was a box to check during the electronic renewal process as personal attestation that you were in compliance with the continuing education requirement.
Although this requirement has been in place since 2013, this was the first time licensed therapists were asked for this personal verification at their renewal. At every renewal, you will be asked to do the same.
It is important to understand the following:
1) The 6 hours must be completed during the year of licensure--July 1 through June 30-- not the calendar year.
2) You do not need to send any additional information into the Department of Health as verification.
3) It is recommended that you personally keep records of attendance of all courses taken for at least four (4) years in the event that you are asked to produce verification to the Department of Health during a random audit or licensing hearing.
4) The Rules and Regulations supporting statute are found in 216-RICR-40-05-10.8:
10.8 Continuing Education
A. On application for renewal of license, massage therapists must show proof of participation in six (6) hours (annually) in scope of practice specific offerings that may include, but not limited to: formal presentations, conferences, coursework from a regionally accredited college/university and/or self-study course, such as online courses (awarded one education hour for each hour completed) and ethics.
B. It is the sole responsibility of the massage therapists to obtain documentation (e.g. course descriptions, proof of attendance) from the sponsoring organization, agency, or institution of his/her participation in a continuing education program and/or activity. These documents shall be retained by each licensee for no less than four (4) years and are subject to random audit by the Department.
C. A licensee who fails to complete the continuing education requirements described may be subject to disciplinary action pursuant to R.I. Gen. Laws § 23-20.8-6.
D. A license may be denied to any applicant who fails to provide satisfactory evidence of completion of continuing education relevant to massage therapy as required in this Part.
E. The board may waive the requirement for these educational requirements if the board is satisfied that the applicant has suffered hardship, which may have prevented meeting the educational requirements.
5) The RI State Department of Health, RI Department of Education and the RI State Board of Licensed Massage Therapists do not approve, endorse or recommend continuing education courses.
6) Continuing education course content must be supportive of the defined scope of practice in the statute. Examples of courses include, but are not limited to: massage theory and technique, lecture classes in the sciences (anatomy, physiology, kinesiology, pathology), professional ethics, courses on the business of practicing massage therapy, etc.

Should you have any questions regarding your renewal or the continuing education requirement, please contact:

Laura Mello, Board Manager
Center For Professional Boards and Licensing
3 Capitol Hill
Providence RI 02908
(401) 222-1392

Johnson & Wales University
Wednesday, September 25, 2019
Harborside Campus
321 Harborside Blvd
Providence, RI 02905

AMTA Rhode Island Chapter is participating in this event for the 2nd year! This is an amazing opportunity to spread the word about massage therapy and it's benefits!!
The Community Service Massage Team of the AMTA RI Chapter is reaching out to you with an amazing Volunteer Opportunity!!
The JWU Good Life Expo presented by Performance Food Group of Springfield, MA. This year's event will be on the Harborside Campus, Wednesday September 25, 2019 from 11:00am-2:00pm.
The purpose of the Good Life Expo is to actively engage the JWU community in an experience that promotes holistic well-being. The Good Life Expo, will provide JWU faculty, staff and students the opportunity to learn about a variety of health and wellness resources available on and off campus.
2018 was the first year the AMTA RI chapter participated in this event and the response was amazing! Over 40 chair massages were given out within the 3 hour time frame! Accompanied by great information on the effects and benefits of massage therapy to promote health and wellness!
This year you have the opportunity to be part of this wonderful event-offer chair massages-hand out beneficial materials-and promote massage therapy, the RI chapter as well as your own practice! Bring plenty of business cards with you, if you are asked where you work or your business card is requested, please feel free to hand them out!
 Contact me today to take part in this event...space will be limited! Don't miss out!
Larry Gallagher, LMT
Community Service Massage Team Chair
AMTA RI Chapter


The AMTA-RI and the editor reserve the right to edit and/or refuse any submitted article or advertisement, and assume no responsibility for errors, omissions, corrections or modifications in publication.

Neither AMTA-RI nor the AMTA-RI Newsletter guarantees, warrants or endorses any product, service, "Letter to the Editor," or referral advertised herein, nor do they express any opinion in regard to the legality of the use of any product
advertised herein in connection with the practice of massage therapy.

Subscriptions to the AMTA -RI Newsletter are free to AMTA-RI members and $20/yr for non-members. The editor welcomes any and all contributions pertinent to massage therapy and will respond to any suggestions to this publication.


Deadlines: March 30, July 30,  November 30
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Front Cover (hands): ©iStockphoto.com/Matthew Scherf