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Massage Therapy
Applications

These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address below.

Fees (if applicable) are payable to the "Licensing & Regulatory Affairs".

Licensing & Regulatory Affairs
Massage Therapy
PO Box 94986
Lincoln, NE 68509-4986

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pdf icon Duplicates/Reissue form
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