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MASSAGE THERAPY

Massage Coordinator:
Jack Beacon, LMT
330-966-5458
Ext. 4545
 

Search the Stark State Web Site
Massage Therapist Locator Service – FORM

   
Stark State Massage Therapy Graduates
Stark State College is now offering a Massage Therapist Locator Service 		 
where graduates of Stark State College can list their location, hours, type of massage therapy they provide and more. Simply fill in the Massage Therapist Locator Enrollment form below. Your request for inclusion will be sent to the Massage Therapy Program Coordinator for approval and then placed on the Web site according to location. Please submit updated information as your situation changes.


 * = Required Field

New Submission          Updating Previous Submission
 (NOTE: If you are updating a previous submission, please indicate what
information you added/changed in the ADDITIONAL NOTES section at
the bottom of this form)
 * What year did you graduate from Stark State?                
 * Name:  
 * Office Street
   Address:
   (city/state/zip)		  
 * Office Telephone:  
   Office Fax:  
 * Contact Email:  
   Web site:  
   State License #:  
What are your usual office/practice hours? (check all that apply)
    Mornings   Afternoons   Evenings
Monday      
Tuesday      
Wednesday      
Thursday      
Friday      
Saturday      
Sunday      
Which types of clients will you accept? (check all that apply)
Male   Female   Infants   Children
What is your gender?
Male   Female
Do you accept medical insurance?
Yes   No
Do you sell gift certificates?
Yes   No
At which of the following sites do you practice? (check all that apply)
Client's House   Private Practice
Client's Office   Nursing Home/Hospice
Chiropractic Office   Rehab Center
Day Spa   Resort
Health Club/Fitness Center   Salon
Hospital   Therapist's Home Office
Medical Office   Wellness Center
Massage Office      
Which are you trained in, competent in and practice most often?
(check up to 7 items)
Acupressure   Pregnancy Massage
Chair/Seated Massage   Pressure Point Therapy
CranioSacral TherapySM   Reflexology
Deep Tissue Massage   Reiki
Energy Work   Russian Massage
Geriatric Massage   Shiatsu
Infant Massage   Somatic MovementSM
Lomi Lomi   Sports Massage
Lymphatic Drainage   Stone Therapy
Movement Education   Structural Integration
Neuromuscular   Swedish Massage
Oriental Bodywork   Thai Massage
Polarity Therapy   Trigger Point Therapy
The following are registered trademarks and can only be used if you are authorized by the organization that controls the mark. Please check with the organization if you are unsure.?
Feldenkrais Method   Rolfing
Myofascial Massage   Trager Approach
Myotherapy   Zero Balancing
How many years have you been a practicing massage therapist?
0-2 yrs.   3-4   5-7   8-10   11-15   16-20   21+
ADDITIONAL NOTES: Please include any additional information below
NOTE: This information may take up to 10 working days to appear online.

Pease contact us again if you have a change in your information so that we
can keep this database as up-to-date as possible.

 

 
 
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6200 Frank Avenue NW
North Canton, Ohio  44720
330-494-6170 | 1-800-79-STARK (1-800-797-8275)