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 Website according to location. Please submit updated information as your situation changes.

If you are human, leave this field blank.

Submission

Submission Type

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)

Personal Information

What year did you graduate from Stark State?

First Name

Last Name

Name of Office / Practice

Office / Practice Address

Apt, suite, etc.

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City

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Zip code

Office Phone

Email

Website

State License

What are your available office/practice hours?

Please list the days you are available and whether or not you are available mornings, afternoon, evenings or anytime.

Which types of clients will you accept?

Male

Female

Infants

(check all that apply)

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?

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

(check all that apply)

Which are you trained in, competent in and practice most often?

Acupressure Pregnancy Massage

Chair/Seated Massage

CranioSacral TherapySM

Deep Tissue Massage

Energy Work

Geriatric Massage

Infant Massage

Lomi Lomi

Lymphatic Drainage

Movement Education

Neuromuscular

Oriental Bodywork

Polarity Therapy

Pressure Point Therapy

Reflexology

Reiki

Russian Massage

Shiatsu

Somatic MovementSM

Sports Massage

Stone Therapy

Structural Integration

Swedish Massage

Thai Massage

Trigger Point Therapy

Yoga

(check up to 7 items)

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

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