It depends on the state you live in. In Texas, you are not required to be licensed. All you have to do is hang out your shingle and you are in business. Some states do require an exam. You may need to check with the state board of licensing to see if anything is required. And if you have studied for the human massage, then you should not need much to learn how to do this for horses. I unfortunately wasted $1300 on a course from a guy in California that I could have learned from a book and good common sense. If you do decide to go to a school, check them out completely and get references. Realize that there is a huge difference between being "certified" and "licensed" Anyone or any school can give you a certificate saying that you have passed their course and are certified. Being licensed means you have taken classes at a state accredited school, taken a state exam based on a state's given criteria for obtaining a license, and passed the test.