You must have the education in the US. Each States has different hours of requirements. You must pass MBLEX. (National Certifications) US Citizen. Green Card is secondary You have to be Licensed by the State you are to work at. You also have to carry the Liability Insurance and Be a member of MASSAGE Therapist Association. You have to attend school in The US. Subjects studies are Anatomy. Physiology.Kinesiology.Indication. Contraindication. Ethnic. And many more subjects