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Reset Form APPLICATION FOR CERTIFICATION AS A MASSAGE THERAPIST State Form 53748 R9 / 1-17 Approved by State Board of Accounts 2017 INSTRUCTIONS STATE BOARD OF MASSAGE THERAPY PROFESSIONAL LICENSING AGENCY 402 West Washington Street Room W072 Indianapolis Indiana 46204 Telephone 317 234-8800 E-mail pla14 pla.IN.gov www. Pla.IN.gov 1. The fee for this application is 100. 00 payable to the Indiana Professional Licensing Agency in accordance with 847 IAC 2-1-1. Pla.in.gov for the licensing...
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