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List Your Practice (free, no credit card required) (Required fields are in bold with *) See our FAQs here
• Optional fields left blank will not show on your profile.
• If you're going to spend more than 30 minutes on this form, fill out the required fields* first, save, then revise your profile later.
Your Professional Title:*
Your Email*:
 Will not be shown on your profile. Our system will forward messages to this address.
Retype Email:*
Create Password:*  (at least 5 chars)
First Name:*
Last Name:*
Designations:  E.g. LMT. (Don't repeat your name here)  chars left
Practice Name:   chars left
Leave this blank if you don't use a practice name. Don't repeat your own name here.
Headline 1:*   chars left.
The shorter your headlines the bigger their font will be. Edit your profile later and experiment.
Headline 2:   chars left.
Profile Display:*
Clients Can Contact Me By:*
Profile URL:* massagenext.com/profile/   chars left
Choose your personalized profile page URL here. Keep it meaningful and simple (i.e. /YourName).
Must contain only alphanumeric characters (a-z and/or 0-9) and "_" or "-" instead of spaces.
Example: If you enter JohnSmith your profile URL will be: massagenext.com/profile/JohnSmith
Address 1:  If you are a mobile practice, leave this blank.
Address 2:
City:*
State/Country:*
Zip/Postal Code:*  Only use 5 chars for U.S. zip codes
Phone:*  Will not show on your profile if you choose "Clients can Contact Me by Email Only" above.
Click to add a 2nd address  
Alt. Address 1:
Alt. Address 2:
Alt. City:
Alt. State/Country:
Alt. Zip/Postal Code:  Only use 5 chars for U.S. zip codes
Alt. Phone:
Website:  E.g. www.mysite.com
Hours:
Cost/Session:
Payments Accepted:
 chars left

E.g. cash, check, type of insurance, credit cards.
License Info:
About:*
(300 chars min)
 chars left
Important! Write at least a few paragraphs above to get optimal results from your profile. Robust profiles get more results and get found in Google more often.
Bio:
 chars left
Education/Training:
 chars left
Memberships/Associations:
 chars left
Other Languages:
Your Practice Areas:*















IMPORTANT: Make sure to select all possible practice areas above to make sure people can find you.
Your Certifications:*









Helpful links for potential clients
• All links must have descriptions.
Link #1:   chars left
E.g. http://feelbetter.com
Link #1 Description:   chars left
E.g. Daily routines that can improve your health and wellness
Link #2:   chars left
Link #2 Description:   chars left
Link #3:   chars left
Link #3 Description:   chars left
Link #4:   chars left
Link #4 Description:   chars left
Link #5:   chars left
Link #5 Description:   chars left
Allow Recommendations: If checked, your profile can display recommendations and testimonials. You approve all recommendations before they display on your profile and you can easily delete any recommendations.
Terms:* I agree to the Professional User Agreement and Terms of Service
Name of this fruit:* captcha  (to show you're human)