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Massage Therapists

SOC 31-9011.00Job Zone 3 · Medium Preparationv.26.05

Context coveredThis framework covers entry-through-executive practice contexts for licensed massage therapists working in clinical, wellness, rehabilitation, and private-practice settings calibrated to Job Zone 3 preparation standards.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Client intake forms and medical history questionnaires — collect and review under direct supervision to identify contraindications before a session begins.
  2. Basic massage strokes including effleurage and petrissage — apply to muscles and soft tissues of the body following step-by-step guidance from a supervising therapist.
  3. Massage table linens, lubricants, and sanitation supplies — restock and sanitize equipment between client sessions according to facility hygiene protocols.
  4. Finger and hand pressure techniques — practice on designated acupressure points under direct instructor observation in a clinical training environment.
  5. Pre-written treatment plan templates — complete with client-specific information under supervisor review before presenting options to the client.
  6. Client session records including date, duration, and techniques used — document accurately in paper or electronic logs following established clinic procedures.
  7. Basic soft tissue palpation — perform to identify areas of tension or tenderness under the guidance of a licensed therapist during supervised sessions.
  8. Postural awareness handouts and simple stretching instructions — distribute and explain to clients using scripted talking points provided by the clinic.
  9. Scheduling software — enter and manage client appointments under supervision to support daily clinic operations.
  10. Active listening skills — demonstrate during client consultations to capture reported pain, stress, and wellness concerns before relaying findings to a supervising therapist.
Developing
Mid-level / Established
  1. Client medical histories and stress or pain concerns — assess independently during intake consultations to determine appropriate massage modalities with minimal oversight.
  2. Swedish, deep tissue, and trigger-point massage techniques — apply routinely to muscles and soft tissues across a standard caseload to address common injuries and wellness goals.
  3. Treatment room sanitation schedules and supply inventory — manage consistently throughout the workday to maintain a safe and professional clinical environment.
  4. Sustained finger and hand pressure — deliver accurately to specific body points during myofascial and acupressure sessions for a diverse client population.
  5. Individualized treatment plans — develop and propose to clients that specify modality selection, session frequency, and duration based on assessed conditions.
  6. Electronic medical records and session notes — maintain with regularity and accuracy using clinic software to support continuity of care across multiple visits.
  7. Soft tissue condition, joint mobility, muscle strength, and range of motion — assess through structured palpation and movement screening during initial and follow-up evaluations.
  8. Rehabilitative exercises, stretching routines, and relaxation techniques — explain and demonstrate to clients during and after sessions to reinforce at-home self-care.
  9. Judgment and critical thinking — apply when modifying pressure and technique mid-session in response to client feedback and observed tissue response.
  10. Word processing and spreadsheet software — use to track client progress notes and generate basic reports supporting clinic documentation requirements.
Proficient
Senior / Expert IC
  1. Complex client histories involving chronic pain, injury rehabilitation, or comorbid conditions — evaluate autonomously during intake to design safe, targeted massage programs.
  2. Advanced massage modalities including neuromuscular therapy, sports massage, and lymphatic drainage — execute across the full scope of practice without supervision to address non-routine clinical presentations.
  3. Multi-session treatment plans for clients with long-term conditions — develop, document, and revise based on ongoing assessment findings and measurable client outcomes.
  4. Fine motor control and arm-hand steadiness — sustain throughout extended back-to-back client sessions to maintain consistent therapeutic pressure and technique quality.
  5. Comprehensive soft tissue, joint function, muscle strength, and range-of-motion assessments — conduct and interpret to guide clinical decision-making for complex or post-surgical clients.
  6. Postural correction, strengthening, and rehabilitative exercise programs — design and communicate as integrated components of a client's overall therapeutic plan.
  7. Contraindications and safety considerations — identify and respond to proactively during sessions, adjusting or terminating treatment to protect client welfare.
  8. Electronic health record systems and scheduling platforms — utilize proficiently to manage a full client caseload, ensuring accurate documentation and seamless appointment coordination.
  9. Active learning and reading comprehension — apply to current clinical research and continuing-education resources to integrate evidence-based techniques into routine practice.
  10. Client-centered communication — employ empathically during consultations and progress reviews to build therapeutic rapport and support treatment adherence across diverse populations.
Advanced
Lead / Principal / Executive
  1. Clinic-wide treatment protocols and quality standards — establish and continuously refine to elevate the level of care delivered across all therapists in the practice.
  2. Mentorship and skills development programs — design and lead for emerging and developing therapists to accelerate competency growth and reduce supervised learning time.
  3. Organizational service offerings and specialty modality mix — evaluate and expand based on client population data, market trends, and evidence-based practice guidelines.
  4. Complex interdisciplinary cases involving physician referrals, physical therapists, and other healthcare providers — coordinate and lead treatment planning to ensure integrated client outcomes.
  5. Practice-wide documentation systems, medical software configurations, and scheduling workflows — oversee and optimize to improve operational efficiency and regulatory compliance.
  6. Staff performance reviews and continuing-education requirements — conduct and administer systematically to maintain licensure standards and advance team-wide professional development.
  7. Client retention strategies and service-orientation initiatives — develop and implement at an organizational level to build a loyal, health-outcome-focused client base.
  8. Public safety, infection control, and workplace ergonomics policies — author and enforce across the facility to protect both clients and practitioners from occupational hazards.
  9. Strategic growth plans for new service lines, community wellness programs, or satellite locations — present and execute using market analysis and financial projections aligned with organizational goals.
  10. Professional-community engagement including speaking, writing, and collaboration with healthcare networks — lead to advance the credibility and visibility of the practice and the profession at large.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. Client intake documentation — uses an AI writing assistant to draft intake forms and initial health-history summaries, freeing more session time for hands-on assessment Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Developing
  1. Treatment plan drafting — directs an AI tool to generate a first-draft treatment plan from client notes, then reviews and adjusts every recommended modality against personal clinical observation Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Supply and scheduling management — delegates routine administrative tasks such as restocking reminders and appointment-confirmation messages to AI-powered practice-management tools, retaining full control over session scheduling decisions Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Proficient
  1. Client communication scripting — uses AI to compose post-session care instructions and wellness follow-up messages tailored to each client's reported pain points, then edits for accuracy before sending Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Stress and pain research synthesis — queries an AI assistant to surface current evidence on massage protocols for specific conditions, critically evaluating the output against professional training before applying it to treatment decisions Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  3. Session note generation — dictates session observations and has an AI tool structure them into SOAP-format progress notes, verifying clinical accuracy before filing Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Advanced
  1. Evidence-based protocol design — directs an AI system to cross-reference peer-reviewed literature and client outcome data when developing individualized multi-session treatment plans, while retaining sole authority over hands-on technique selection and contraindication judgment Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Practice analytics interpretation — uses AI-generated reports on client retention, session frequency, and outcome trends to make strategic decisions about service offerings, applying professional judgment to filter insights that cannot account for tactile clinical nuance Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Peer education content creation — leads development of AI-assisted training materials and client education resources for colleagues, setting quality standards that preserve the primacy of active listening and social perceptiveness skills that AI cannot reliably replicate Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Evidence pack
AEI usage
Task observations: 288
Augment share: 28.8%
Time saved: 78.6%
AI autonomy: 3.46
SAFI positioning
Top skill: Active Listening
Score: 42.2 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication12 statements
Emerging
  1. Client intake conversation — collects basic health history and pain concerns through guided verbal questions during initial session setup Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment explanation — describes planned massage techniques in plain language to new clients before beginning a session Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Written record entry — documents session notes using standard terminology in client treatment records after each appointment O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Symptom clarification — uses follow-up questions to distinguish between referred pain, muscle tension, and stress-related complaints during client consultation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Post-session debrief — communicates observed tissue findings and session outcomes to clients using accessible, non-clinical language Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Home care instruction — delivers clear verbal guidance on stretching, postural correction, and self-care exercises tailored to each client's condition O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Treatment plan communication — presents structured, personalized massage protocols to clients by explaining rationale, sequencing, and expected outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Active listening during session — monitors verbal and non-verbal cues from clients throughout treatment to adjust pressure and technique in real time Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Referral communication — conveys relevant clinical observations to referring healthcare providers through accurate written or verbal summaries O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Therapeutic dialogue — leads complex intake conversations with clients presenting multiple comorbidities, synthesizing medical history, pain patterns, and treatment goals into coherent care narratives Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Staff communication modeling — mentors junior therapists on client-centered communication techniques, intake questioning strategies, and professional documentation standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Cross-disciplinary reporting — produces detailed written treatment summaries that integrate biomechanical assessment findings for collaborative review with physicians or physical therapists O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
2Leadership9 statements
Emerging
  1. Session ownership — takes initiative in preparing the massage environment, stocking supplies, and sanitizing equipment without prompting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Client advocacy — identifies and voices client comfort concerns to supervisors or clinic managers when standard protocols are insufficient Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Treatment plan authorship — independently develops and proposes massage treatment plans with specified modalities and session frequency based on assessed client needs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Peer guidance — shares techniques and best practices with newer therapists during shared clinic hours or informal settings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Caseload management — takes full accountability for a consistent client caseload, tracking progress, adjusting plans, and ensuring continuity of care across sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Wellness program contribution — leads group stretching or relaxation instruction sessions as part of employer or community wellness initiatives Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Clinical mentorship — formally supervises and evaluates student or junior massage therapists, providing structured feedback on technique, ethics, and client interaction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Practice development leadership — drives the implementation of new service offerings, intake protocols, or specialty modalities within a massage practice or clinic setting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Professional community engagement — represents the massage therapy profession through association involvement, continuing education instruction, or public health outreach Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
3Metacognition8 statements
Emerging
  1. Technique self-monitoring — notices when applied pressure or stroke direction produces unexpected client responses and pauses to reconsider approach Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Learning reflection — reviews feedback from supervisors after practice sessions to identify specific areas for skill improvement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Session self-evaluation — assesses own assessment accuracy by comparing pre-session tissue findings to post-session client-reported outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Continuing education planning — identifies personal knowledge gaps in anatomy or modality technique and selects targeted coursework to address them Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Adaptive strategy selection — consciously selects among multiple massage modalities based on ongoing evaluation of client tissue response and treatment progress across sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Error recognition — identifies and corrects misjudgments in session pressure or technique sequencing by monitoring client feedback and adjusting mid-session Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Reflective practice leadership — facilitates peer case review discussions where therapists examine their own clinical reasoning and decision-making in complex client scenarios Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional growth planning — constructs and executes multi-year learning plans incorporating advanced modalities, specialty certifications, and anatomy knowledge to deepen occupational mastery Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
4Critical Thinking9 statements
Emerging
  1. Contraindication recognition — identifies basic contraindications such as open wounds or acute inflammation from client intake information and defers to supervisor guidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Observation-based inference — connects client-reported pain location to likely muscle groups based on foundational anatomy knowledge during intake Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Assessment synthesis — integrates client health history, posture observation, and palpation findings to form an initial hypothesis about soft tissue dysfunction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Modality selection reasoning — evaluates which massage technique is most appropriate for a given condition by weighing client needs, contraindications, and treatment goals Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Multi-factor clinical judgment — analyzes complex client presentations involving chronic pain, postural imbalance, and stress to determine safe, effective treatment sequencing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment efficacy evaluation — compares client outcomes across sessions against established treatment plan goals to determine whether to continue, modify, or escalate care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Risk-benefit analysis — weighs the therapeutic value of deeper or more intensive techniques against client tissue sensitivity and medical history before proceeding Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Differential reasoning — distinguishes between conditions appropriate for massage intervention and those requiring medical referral by critically evaluating symptom patterns and assessment findings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Evidence-informed practice — critically appraises massage therapy research and clinical guidelines to update personal practice protocols and contribute to team knowledge Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
5Collaboration8 statements
Emerging
  1. Team environment participation — cooperates with front-desk staff and other therapists to coordinate scheduling, room turnover, and supply restocking in shared clinic space Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Referral acceptance — receives client referrals from healthcare providers and follows communicated treatment parameters as part of a coordinated care plan Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Care team communication — shares relevant session observations with supervising healthcare providers or clinic managers to support integrated client care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Colleague consultation — seeks input from experienced therapists when encountering unfamiliar client presentations or complex tissue conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Interdisciplinary coordination — collaborates with physical therapists, chiropractors, or physicians to align massage treatment goals with broader rehabilitation or wellness plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Client-centered partnership — works with clients as active partners in designing treatment plans, incorporating their preferences, goals, and feedback into session planning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Multi-provider case management — co-leads integrated care planning with healthcare teams for clients with complex musculoskeletal or stress-related conditions, contributing unique soft-tissue expertise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Collaborative practice development — partners with clinic leadership and peer practitioners to design standardized intake, assessment, and documentation protocols that improve team-wide consistency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
6Character9 statements
Emerging
  1. Professional boundary maintenance — observes established draping protocols and scope-of-practice boundaries consistently during all client interactions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Accurate record-keeping — documents client sessions truthfully and completely without omission of relevant findings or outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Informed consent practice — ensures every client understands the treatment plan, provides explicit verbal consent, and has the right to modify or stop the session at any time Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Confidentiality adherence — protects client health information in compliance with applicable privacy standards across verbal, written, and digital communication Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Ethical decision-making under pressure — declines to perform techniques outside one's scope of practice or training even when client or employer expectations create pressure to do so Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Accountability in adverse outcomes — acknowledges and reports client adverse reactions or session errors to supervisors promptly and without minimization Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Professional punctuality and preparation — consistently arrives prepared with client records reviewed, equipment sanitized, and treatment space ready before each scheduled appointment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Ethical leadership modeling — establishes visible professional standards within a practice or team that reinforce scope-of-practice adherence, client dignity, and transparent communication Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Advocacy for client welfare — raises systemic concerns about unsafe practices, inadequate sanitation, or boundary violations through appropriate professional or regulatory channels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity8 statements
Emerging
  1. Technique variation — experiments with minor adjustments in stroke pressure, rhythm, or positioning to better address client comfort during a session Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Environment customization — adjusts ambient lighting, music, or bolster placement creatively to create optimal therapeutic conditions for individual clients Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Blended modality application — combines two or more massage modalities within a single session to address overlapping client conditions more effectively Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Home care design — develops individualized self-care routines for clients by creatively adapting stretching and relaxation techniques to fit their lifestyle constraints Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Novel treatment sequencing — designs unique session structures that address complex client goals by innovatively ordering techniques, pressure depths, and anatomical focus areas Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Adaptive accessibility techniques — modifies standard massage protocols creatively to serve clients with mobility limitations, sensory sensitivities, or medical devices Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Specialty protocol development — creates original, evidence-informed massage protocols for specific populations such as prenatal, oncology, or athletic clients that advance beyond standard curriculum Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Curriculum or workshop creation — designs and delivers original continuing education content or client wellness workshops that introduce innovative therapeutic approaches to peers and the public Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset8 statements
Emerging
  1. Feedback receptivity — accepts corrective feedback on technique from supervising therapists and applies suggested changes in subsequent practice sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Challenge tolerance — persists through physically demanding back-to-back session schedules without abandoning professional quality standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Skill expansion — pursues training in additional massage modalities beyond initial certification to broaden clinical capability Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Setback reframing — treats client treatment plans that do not produce expected outcomes as learning opportunities for refining assessment and technique skills Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Continuing education commitment — regularly completes advanced coursework in anatomy, specialized modalities, or related healthcare topics to maintain and deepen occupational expertise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Performance benchmarking — compares current client outcome data and feedback trends against past performance to identify and pursue measurable improvement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Mastery cultivation — actively seeks challenging case types, peer critique, and advanced clinical training as ongoing drivers of professional development rather than as remediation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Growth culture promotion — fosters a learning-oriented environment within a massage practice by normalizing peer feedback, celebrating skill milestones, and supporting team-wide continuing education Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
9Mindfulness8 statements
Emerging
  1. Presence during intake — gives undivided attention to client verbal and emotional cues during the health history conversation without distraction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Physical self-awareness — monitors own body mechanics and posture during sessions to prevent fatigue and reduce injury risk Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Tactile attentiveness — maintains focused palpatory attention throughout a session to detect changes in tissue tension, temperature, and texture as they arise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Emotional regulation — manages personal stress or frustration so that it does not affect the quality of therapeutic presence during client sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Real-time session calibration — continuously integrates sensory feedback from client tissue response and verbal cues to adjust technique, pressure, and pacing with intentional precision throughout a full session Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Therapeutic presence — establishes and sustains a calm, grounded demeanor that actively contributes to client relaxation and psychological safety during treatment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Mindful practice modeling — demonstrates and teaches present-moment awareness techniques to junior therapists as a core component of effective massage practice and self-care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Practitioner wellness integration — develops and consistently applies a personal mindfulness and self-regulation practice that sustains high-quality therapeutic presence across a full professional caseload Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude8 statements
Emerging
  1. Physical endurance initiation — completes a full day of massage sessions by managing hand, wrist, and postural strain through correct body mechanics Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Difficult client persistence — maintains professional composure and continues to seek effective techniques when initial approaches do not relieve a client's presenting complaint Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Repetitive strain resilience — sustains high-quality manual technique across repeated sessions throughout the work week by applying ergonomic discipline and self-care routines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Uncertainty navigation — continues methodical assessment and treatment when client conditions are ambiguous or not responding predictably to standard protocols Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Career longevity management — consistently implements physical self-maintenance strategies that protect occupational health and sustain therapeutic effectiveness across years of practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Emotionally demanding case endurance — provides consistent, compassionate care to clients with chronic pain, trauma history, or high emotional distress without absorbing secondary stress Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Resilience mentorship — guides junior therapists through the physical and emotional challenges of full-time massage practice by sharing tested coping strategies and career sustainability frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Sustained excellence under volume — maintains clinical quality, client satisfaction, and ethical standards across a high-volume caseload over extended career timelines, modeling professional endurance for the broader team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
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Source anchors that ground each statement

Related titles
Massage Therapist · Bodywork Therapist · Certified Massage Therapist (CMT) · Clinical Massage Therapist · Deep Tissue Massage Therapist · Integrated Deep Tissue Massage Therapist · Licensed Massage Practitioner (LMP) · Licensed Massage Therapist (LMT) · Massage Operator · Masseur · Masseuse · Massotherapist
RAPIDS apprenticeships
0287 · Massage Therapist
O*NET skills
Active ListeningSpeakingSocial PerceptivenessService OrientationJudgment and Decision MakingMonitoringComplex Problem SolvingWritingCritical ThinkingActive LearningReading Comprehension
Knowledge domains
Customer and Personal ServiceBiologyEnglish LanguagePsychologyMedicine and DentistrySales and MarketingPublic Safety and Security
Abilities
Trunk StrengthDynamic StrengthOral ComprehensionOral ExpressionManual DexterityMultilimb CoordinationProblem SensitivityExtent FlexibilityArm-Hand SteadinessStamina
Work styles
EmpathyCooperationDependabilitySinceritySocial OrientationOptimism
Technology
Calendar and scheduling softwareMedical softwareSpreadsheet softwareWord processing software
Tasks · seed anchors for statements
  1. Confer with clients about their medical histories and problems with stress or pain to determine how massage will be most helpful.
  2. Massage and knead muscles and soft tissues of the body to provide treatment for medical conditions, injuries, or wellness maintenance.
  3. Maintain massage areas by restocking supplies or sanitizing equipment.
  4. Apply finger and hand pressure to specific points of the body.
  5. Develop and propose client treatment plans that specify which types of massage are to be used.
  6. Maintain treatment records.
  7. Assess clients' soft tissue condition, joint quality and function, muscle strength, and range of motion.
  8. Provide clients with guidance and information about techniques for postural improvement and stretching, strengthening, relaxation, and rehabilitative exercises.
CIP education codes
51.350151.350251.350351.3599

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.