Do You Need a License for Reiki in Nevada?

Yes, with limits. Nevada's wellness services law names Reiki and energetic healing as services unlicensed people may provide, on conditions. One condition is that you do not perform massage therapy, reflexology or structural integration as Nevada law defines them.

Nevada defines massage therapy as applying a system of pressure to the muscular structure and soft tissues for therapeutic purposes, including strokes such as effleurage, petrissage and friction. Light-touch Reiki with no system of pressure should fall outside that definition, though no board ruling on Reiki was found. A 2025 Attorney General opinion read pressure to soft tissue broadly, so keep your touch light.

Yes. The massage law does not cover them. Hands-off and distance Reiki fall under the wellness services law, which protects you from unlicensed health care practice charges as long as you follow its rules on disclosure, no diagnosis and prohibited acts.

The law does not say whether it applies to a provider outside Nevada serving a Nevada client. If you work from another state, following its disclosure steps is the cautious choice.

Yes. The disclosure duties apply to anyone who advertises or charges a fee for wellness services. The massage license requirement, by contrast, applies whether or not you are paid.

Unlicensed people may not use titles such as L.M.T., licensed massage therapist, M.T., massage technician, massage therapist, reflexologist or structural integration practitioner, may not use the word massage in a way that implies being qualified, and may not list under massage headings in directories.

As a wellness provider you must not diagnose a medical disease, advise a client to stop or change medical treatment, prescribe drugs, puncture the skin, manipulate joints or the spine, hold out or imply that you are a health care provider, practice medicine, or provide mental health services reserved for psychiatrists or psychologists.

Yes, if you advertise or charge a fee. Before services, give each client a plainly worded written statement with your name, business address and phone number; a statement that you are not licensed, certified or registered as a health care provider in Nevada; the nature of your services; your degrees, training, experience and credentials; and a set statement recommending that the client tell their doctor and ask about drug interactions or conflicts.

Get the client's signature, give them a copy at the time of service and keep the signed copy for at least 5 years. Post the statement prominently where you work in at least 12-point type, make accommodations for clients who cannot read it, and say in every advertisement that you are not a licensed health care provider in Nevada. A violation is a misdemeanor, though the regulator must first try notice, education or mediation.

State law stops cities and counties from licensing individual massage therapists. They may still license and regulate massage establishments and require general business licenses. Check with your city and county, especially in Las Vegas and Clark County.