Hello, I am a LPN and decided to go back for Massage Therapy, and unfortunately you do have to go back to school to practice massage therapy. I believe it has to be at least a 500 hr Massage Therapy program to be considered a Nurse Massage Therapist according to http://www.nanmt.org/about.html. Massage Therapy has its own State Board division. The National Exam for Massage Therapy and Bodywork is now required by most states not all and the Exam is a completely different ball park than nursing, your knowledge of muscles their origin insertion and actions in a must. In my opinion its worth it, I'm actually considering working full time as a L.M.T. Its so relaxing and stress free! Good Luck, Raivon