North Dakota Code § 43-25-09

License - Display - Renewal - Renewal fee
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1. Each licensee shall display the licensee's original license or license renewal card at 
the licensee's place of practice.
2. Except as otherwise provided under this subsection, twenty -four hours of continuing 
education, or equivalent college credits, submitted every two years is required for 
renewal of the license. Of the twenty -four hours, twelve hours must be classroom, 
hands-on hours. For the first renewal after becoming licensed in this state, a minimum 
of three hours of the required twenty-four hours must be ethics education. If an 
applicant for renewal is in good standing and has been actively practicing massage for 
the fifteen years immediately preceding the renewal, six hours of continuing education, 
or equivalent college credits, submitted every two years is required for renewal of the 
license. If an applicant for renewal is in good standing and has been actively practicing 
massage for the twenty -five years immediately preceding the renewal, three hours of 
continuing education, or equivalent college credits, submitted every two years is 

required for renewal of the license. The board may accept continuing education 
attained by remote means. No more than fifty percent of a licensee's renewal hours 
may be by remote means. To qualify as continuing education, the remote education 
must be board-approved for content and suitability as defined in this chapter. 
a. Licensees with odd-numbered licenses shall report required continuing education 
on or before February twenty -eighth of each odd -numbered year and pay a 
required renewal fee of two hundred dollars or a lesser amount established by the 
board.
b. Licensees with even -numbered licenses shall report required continuing 
education on or before February twenty -eighth of each even -numbered year and 
pay a required renewal fee of two hundred dollars or a lesser amount established 
by the board.
c. Licensed individuals during their initial licensure period are not required to report 
hours of continuing education. Thereafter, the licensees shall report continuing 
education pursuant to subdivisions a and b.
d. The board may grant an individual waiver based on health issues or other good 
cause deemed sufficient by the board.
3. If the board reasonably believes a massage therapist or applicant has a physical or 
behavioral health condition jeopardizing the health of those who seek massage from 
the individual, the board may require the individual to have an appropriate examination 
by a qualified examiner approved by the board. Refusal to submit to an examination, if 
the refusal is not due to circumstances beyond the licensee's control, constitutes 
grounds for discipline under section 43 -25-10. If the individual has had or has any 
communicable disease deemed sufficient to disqualify the applicant to practice 
massage in the state, the board shall deny a license until the individual furnishes due 
proof of being physically and mentally competent and sound.
4. A holder of an expired license may within two years from the date of its expiration have 
the license renewed upon payment of the required renewal fee. The board may require 
a new certificate of physical examination and evidence of completion of any required 
continued educational hours.
5. All licenseholders must be designated as licensed massage therapists and may not 
use any title or abbreviation without the designation "massage therapist".
6. An applicant with training and credentials outside of the United States shall submit at 
the applicant's own expense qualifications, credentials, and work experience to a 
credentialing agency approved by the board.
7. Failure to have a review completed by a credentialing agency under subsection 6 and 
the massage therapy application procedures indemnified by the board may result in 
the board denying the application. The board may accept or refuse any 
recommendation made by the credentialing agency.

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