Handbook on Spa and Massage 4 x 6 Draft

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 HIMAS Asian Wellness and Spa Academy 1 Handbook on Spa and Massage  A reference tool for spa/salon operators, clients and massage enthusiasts Benjamin Eugenio Jr. LMT Lorinda de Guzman, LMT Lalaine Olubalang, LMT

Transcript of Handbook on Spa and Massage 4 x 6 Draft

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HIMAS Asian Wellness and Spa Academy

1 Handbook on Spa and Massage 

 A reference tool for spa/salon operators,clients and massage enthusiasts

Benjamin Eugenio Jr. LMTLorinda de Guzman, LMTLalaine Olubalang, LMT

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INTRODUCTION

pa and massage are two of themost interesting buzz words inthis unprecedented time and age

of health and wellness. However, due to someconstraints, not everyone is familiar with theexisting laws and regulations pertaining to thespa and massage industry.

This handbook is divided into fourmajor areas: a) things one has to know aboutspa and massage; b) government regulationsbeing implemented by DOH and TESDA; c)

relevant information pertaining to licensing andcertification of massage practitioners, relativeto DOH exams and various kinds of massage;d) hiring and placement of qualified massagetherapists/practitioners..

We hope you will find this handbook indispensable.

S

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Table of Contents

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 A. Things you have to know about spa andmassage.

 According to the Webster‟s Dictionary,

a spa is a „mineral spring or a locality inwhich such springs exist‟. Commercially, itmeans, “Salus per Aqua‟ or „healingthrough water”. 

 At present, there are several types of 

spas: day spa, hotel or resortspa, destination spa and medical spa.

1.  Day Spa – this is a businessestablishment where people go for

professionally administeredpersonal care such as massages,and facials. It is similar to a beautysalon. It is only visited for theduration of the treatment.

2.  Hotel or Resort Spa – this is ownedby or located within a hotel orresort that offers professional

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services such as massage, fitness

and wellness components and avariety of spa cuisine menus.

3.  Destination spa – this is a shortterm residential lodging facility withthe primary purpose of providingindividual services for spa goers tohelp develop healthy habits.

4.  Medical spa – is a hybrid betweena medical clinic and a day spa. This

operates under a medical doctor. Itcombines elements of a cosmeticsurgery, aesthetics clinic and abeauty salon.

 A spa must have a clean, safe, calmingand nurturing environment.It should have private treatment rooms.

shower and changing rooms,professional massages, professional body

treatments, therapeutic spa

ingredients, hydrotherapy or steam orsauna.

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People avail of spa services for the

following reasons:o  to relieve stress. ( 47%)o  to reduce stress. (46% )o  to soothe the sore joints and

muscles. ( 3%)o  to feel better about oneself.

(31%)

The current international spa trends:Based on a study made by

Pilzer, hotels and resorts that offer excellent

spa services generateadditional revenues. Furthermore, survey

shows that the (hotel spas)tend to attract more leisure travelers.

In the Philippines, especially in some keycities, it is quite noticeablethat more people have become more healthconscious. One best indicatoris the proliferation of spa establishments in

almost every part of the cities.

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 According to Paul Zane Pilzer, author of 

the “ Wellness Revolution”,the wellness industry is the „next trillion dollar‟ industry in the next decade.”  

Practice of Massage

Massage is the systematic manipulationof soft body tissues through manual ormechanical means for relaxation or therapeuticpurposes.

There are two general types of massage:oil massage- a kind of massage that uses oiland other form of lubricants, such as Swedishand Balinese massage; dry massage – massage that uses bare thumbs and fingers.

This occasionally uses powder instead of oil.

Different types of massages in the Philippines:

1.  Balinese massage is one of thetraditional Indonesian massages.

This is a full body, deep-tissue,holistic treatment that combines

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acupressure, reflexology, stretching

and aromatherapy.

Known personality – MangkuMade Pogog (Indonesia)

Contribution to Wellness: a Balian(healer) is known for his

unique combination of massage, yogaand mantra. Because of 

his healing prowess, he was well-sought among the rich and

powerful people everywhere.

2.  Foot Reflexology is a simple, non-invasive method used to help balancethe body. It is based on the principlethat there are reflexes in the body

which corresponds to every part of the body. When done properly, itcould provide a truly relaxingexperience, while enjoying itstherapeutic benefits as well.

Known personality ; Dr. WilliamH. Fitzgerald (USA)

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Contribution to wellness: Dr.

Fitzgerald is better known as theFather of Reflexology. He was

brought to prominence because of his 10 zone theory concept which says

that every part of the footis connected to a specific part of the

human body.

3.  Foot spa includes soaking of foot in aslightly warm water and then scrub it

to feel its relaxing effects. Itsvariations may include foot massageand nail treatments. 15-20 minuteswarm foot soak affects the entirevascular system and helps improve

blood circulation.

4. Indian head massage – this is an Ayurvedic form of massage that

has been practiced for thousands of years. It is a very relaxing

treatment and is excellent for neck and shoulder tension. In earlier

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times, this was enjoyed only by the

elite classes in India. It wasonly recently that a vast majority of 

people begin to enjoy its widerange of benefits.

Champi is the Indian word forhead massage.

Champissage is another termfor Indian Head massage.

4.  Hawaiian Lomi Lomi Massage: LomiLomi means to „rub‟ or

 „massage‟ in Hawaiian. This is atraditional Hawaiian massage

treatment used to bring aboutphysical as well as mental

relaxation. This massage aims to rid

the body of physical andmental stresses and increase energyflow.

Personality: Auntie MargaretMachado (Hawaii, USA)

Contribution to wellness: knownHawaiian “kahunan” or healer 

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whose lomi based healing skillls

brought her to internationalprominence. Because of Aunt

Margaret‟s efforts, Lomi Lomi,an ancient form of healing, became

propular.

5.  Mukha Alaga (Facial) – Facialmassage is an easy and importantpart of beauty regimen. Besides

softening the skin, another goodeffect of facial massage is the

stimulation of blood circulation andremoval of dead skin.

 Author; Lorinda de Guzman, LMTThis type of massage is

accredited by the Dept of Health

6.  Bilis Sarap Chair Massage is a form of chair massage that is aimed atproviding a quick massage treatmentthat covers the head, shoulder, hands

and legs. It is non-invasive and doesnot use oil.

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It is inspired by Namikoshi

seated massageChair massage is popular in

Japan, and is often found insubway train stations.

7.  Namikoshi Shiatsu is an authenticmethod of massage which was madepopular in Japan by its author, thelate Todujiro Namikoshi. Originally

this massage is meant for therapeuticpurposes only. Today, more andmore individuals avail of thisexcellent form of massage treatmentas well. Essentially, this shiatsu

massage carefully observesprescribed shiatsu points andJapanese style of body mechanics.

Known personality; TodujiroNamikoshi (Japan)

Contribution to Wellness: Mr.Namikoshi started giving shiatsu

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treatment at age 7 to his sick 

mother. The healing made him aninstant folk hero in his hometown.

8.  Pindot Sarap, also called Pisil Sarap isa Filipino verson of shiatsu. Itobserves three point massage systemrepresenting a triad: first, the west,where knowledge of anatomy camefrom; second, Japan, where shiatsuoriginally was developed, and third,Philippines. The Filipino therapist,

whose innate desire to care for othersis the heart and soul of this massagestyle

 Author: Benjamin B. Eugenio,

Jr. LMTThis style of massage isaccredited by the Dept. Of Health

9.  Spa Hilot/Pinoy Hilot/Philippinemassage - Hilot is a traditional form

of healing among Filipinos especiallyduring the pre-Spanish era.

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 According to tradition, „hilot‟ helps

remove blockages in the bodyalso known as „lamig‟ when done with

slightly heated and oiledbanana leaves. Once the „lamig‟ is

removed through Hillot, abalanced state of well-being is

achieved.

The warm oiled banana leaf isbelieved to have an

absorbent power.

Hilot is the only massagemethod in the world that

sees „lamig‟ as a sign of ill-health or imbalance.

10. Swedish Massage is the basic, classicform of Western massage that

uses pressure to make it‟s client relax andcalm. It generally uses the

so called 5 basic classical movements,

such as: effleurage (to glide),petrissage (to knead), friction (to rub),

tapotement (to tap) and

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vibration (to shake). Majority of modern-

day massage in the worldfollows some of the massage strokes

mentioned above.

Known personality : Per Henrik Ling (Swden)

Contribution to wellness: His writingsregarding the five classical

movements (mentioned above) helpedmade Swedish massage the

most sought-after massage method in

the world.

11. Thai massage is a form of massage thatinvolves stretching and

deep massage. It is believed to have

been developed by Thai monks2,500 years ago. It integratesmovements for the entire skeletal

system, enhancing joint range of motion, removing blockages and

improving blood circulation. Due to its

wide range of movements, itis better done on the floor.

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Father of Thai massage: Dr.

Shivago Komarpaj (Jivaka

Kumarabhacca)Thai massage has been practiced as aform of medical science in Thailand forover 2,500 years.

TIPS ON GIVING AND RECEIVINGMASSAGE:

For the Therapist:

  Make sure that you are physically,mentally and psychologicallyprepared to give massage

  Hands must be clean and nails properlytrimmed.

 Make sure that everything needed forthe treatment is at hand.

For the receiver/Client:

  Never have a full stomach before themassage

  Communicate clearly what you want.  Enjoy the entire session  Give tips to your favorite therapist

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DOH MASSAGE CODE OF ETHICS:

 An excerpt from the Preamble of DOHCode of Ethics for Massage Therapists:

 “Massage therapists are duly licensed

individuals who possess, maintain and upholdat all times the dignity, integrity and reputationof the profession with high moral values, aswell as technical skills and professionalcompetence. They strictly adhere to the

principles, standards and values of theprofession.

Massage therapists are guided by thecode if ethics in his/her relationships withhis/her clients, co-practitioners, employers,

members of the allied profession and thepublic, in general.”  

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General Responsibilities:

a.  Duties toward the client - client‟s healthand well-being and comfortare of paramount concern.

b.  Duties toward the profession - strivedfor excellence and advance the moralreputation of the profession

c.  Duties toward co-practitioners  – fosterfellowship, mutual assistance andprofessional respect.”  

d.  Duties toward employers – fair, honest

and loyal in dealing with ae.  Duties toward allied professionals -

working harmoniously with alliedprofessionals

f.  Duties toward the general public – obey

the laws of the land, and alllaws governing the practice of theprof ession.”  

B. GOVERNMENT REGULATIONS ONMASSAGE

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1. Top government agencies that regulates

the massage practices* Department Of Health (DOH)* Technical Education and SkillsDevt. Authority (TESDA)

2. Philippine Law that regulates thepractice of massage

Presidential Decree 856, Codeof Sanitation of the Phil

Chapter XIII “Massage and Sauna BathEstablishments”  

Date issued: Dec. 1975

3. Latest government directive on massage. Administrative Order 2010-2003 issued

by the Dept of Health on

Dec. 10, 2010 entitled: Revisedimplementing rules and regulationsgoverning massage clinics and sauna bath

establishments.”  

- Key provisions of the AO issued by

DOHa.  Lowering of the age

requirements for DOH exam

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applicants from 21- 18 years of 

age – section 3.3.1b.   “Only persons holding a valid

certificate of registration issuedby the Committee and approvedby the Secretary of Health shallbe allowed to practice massageas a profession in thePhilippines” Section 5.1.1 

c.  Removal of the mandatory bi-monthly check up amongmassage therapists - Section

5.1.7

d. The minimum base pay of licensed massage therapist shall

not be below the minimum

wage mandated by the Dept of Labor (DOLE)- Sec.5.2.2d.  However, for small

establishments, themanagement and spa therapistmay agree on a payment

scheme acceptable to bothparties

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- Compromised made by the spa

association (PHILWELL) with theDOH relative to AO 2010-0034.

There shall be a 3 yearmoratorium in the implementation of 

the AO among existing spas – thatis: January 2011 to December

2014.

- The penalty for violation or refusalto comply with the AO.

The Penal Provision, Section

7.1, says that guilty partiesshall be prosecuted before the

Court of Justice as provided forby PD 856.

C. Licensing: Mandate of TESDA 

TESDA provides direction, policies,programs and standards towards

quality technical education and skillsdevelopment (TESDA) Mission:

www.tesda.gov.ph 

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The TESDA National Certification is notvalid as a massage license.Based on PD856. the Code of Sanitation of the

Philippines and AO 2010-0034, RevisedImplementing Rules and RegulationsGoverning Massageand Sauna Bath Establishments.”  

Both the Dept. of Health (DOH) andTESDA are perfect partners in theprofessionalization of the local massage and

spa industry. With DOH giving the entry levelmassage regulatory requirements and TESDA to provide for advance massage skillscertification. Latest information received fromDOH states that TESDA is sending its assessors

to DOH for massage licensure examinations.

REQUIREMENTS FOR DOH MASSAGELICENSURE EXAMINATIONS:

Takers of licensure examinations must be:

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a.  Filipino citizen, eighteen years of 

age

b.  of good moral character

c.  have clearance from NBI or

provincial fiscal

d.  physically and mentally fit to take

the exams

e.  at least a high school graduate

f.  have a certificate from a DOH

accredited training provider of at

least 60 hours of practical massage.

g.  have a certificate from a DOH

accredited training center

that he/she received basic

instructions.

h. 

have a passing grade: 75% generalaverage on theoretical exams;

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75% general average on

oral/practical exams.

TIPS ON TAKING THE DOH MASSAGEEXAMINATIONS

1.  Study hard but a day before theexams drop all notes and take timeto relax.

2.  Wake up early, pray, eat a full meal3.  Dress well and bring pens, and

Exam Slip.4.  Be on time.5.  Follow instruction from examination

proctors carefully.6.  Read all questions fully as well as

the answers.7.  Do not rush, the DOH exams werenever been time-pressured. Butdon‟t stay too long on any difficultitem.

8.  Expect the best results.

9.  Bring pen and exam permit forwritten exam

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10. Bring 2 pcs of towel, white scrub

suit for practical exam.

Note: DOH may announce from time to timewhat other items to bringREVOCATION OF DOH LICENSE.

Grounds for the cancellation of DOH License: As provided by AO 2010-0034, DOH license willbe revoked or cancelled due to the following:

  Court conviction involving moral

turpitude  Insanity  Fraud in the acquisition or renewal of 

licenseGross negligence, incompetence and

ignorance inthe practice of the profession..

   Addiction to alcoholic drinks andprohibited drugs.

  False or unethical advertisement andpractice

  Physical incapacity impairing theperformance of duty as therapist

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  Failure to renew license for at least 5

years.  Similar grounds affecting the

profession.

HELPFUL FACTS ON HUMAN ANATOMY ANDPHYSIOLOGY 

 Anatomy is the study of the functional areas orparts of human body.

Physiology is the study of biological andchemical processes in the human body.

Cells are the simplest units of livingmatter that can maintain life and reproduce

themselves. Every person is made up of billions of cells. A cell is composed of 3 majorparts: a) the cell membrane; b) the cellnucleus;(main body) and c) cytoplasm (liquid).

The human body can be likened to theuniverse “made up of very small parts

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organized to function as a unit”, according to

Susan Salvo in herBook, “Massage Therapy, Principles andPractice.”  

The stages of life are as follows:

a) Chemical stage – deals with the

biochemistry of the body.

b) Cellular stage – deals with cells and

its internal processes.

c) Tissue stage – group of cells that

performs specific functions.

d) Organ stage – contains two or

more groups that carry onspecific functions.

e) Organism stage – highest stage of organization presenting a

living individual.

The human body systems:

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A. Skeletal system - it consists of bones,

cartilage, ligaments and tendonsand accounts for about 20 percent of the

body weight. They provide arigid frame work, known as the skeleton,

that support and protect thesoft organs of the body. The large bones

of the lower limbs support thetrunk when standing. The skeleton also

protects the soft body parts.The fused bones of the cranium surround

the brain to protect it from

injury. Vertebrae surround and protectthe spinal cord and bones of 

the rib cage help protect the heart andlungs of the thorax.

Fast facts:

  There are 206 bones inthe human body.

  The bone which is

commonly broken is theclavicle, also called thecollar bone.

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  Bones help in the

production of white andred blood cells.

B. Muscular System – gives shape to theindividual‟s physique. It also helps in themovement of the body by contraction.

Fast facts:

   An adult person have at least 650muscles in his body.

  Satorius muscle, found between thehip and the inner thigh is consideredto be the longest muscle.

  Stapedius, found in the middle of theear ,

is the smallest muscle.

C. Integumentary system or skin system – isthe organ system that

includes the skin, hair, nails andrelated glands.

Fast facts:

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  Skin is the largest organ in the human

body.  It s weight is 12-15% of the total body

weight.  The three layers of the skin are:

epidermis,dermis, and subcutaneous fat.

  The dermis is sometimes called the trueskin

because it consists of elastic layerscontaining

blood vessels that nourish the skin.

D. Circulatory system - is composed of theheart, which is a muscular

pumping device, and a closed system of vessels called arteries,

veins, and capillaries. It is the organsystem that passes nutrients,gases, hormones, blood cells and other

nutrients to and from cells of the body. Blood is pumped by the heart

around a closed circuit of 

vessels as it passes again and againthrough the various "circulations"

of the body.

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Fast facts:

  It takes about 20 seconds for a redblood cell to circle the whole body.

  Blood travels in veins back to the rightside of the heart.

  The average size of a heart is as big asone‟s own fist.

  The heart is located at the middle partof the chest andtilted a little towards the left.

E. Lymphatic and immune system - consistsof organs, ducts, and nodes.

It is home to lymphocytes, small white

blood cells that are the keyplayers in the immune system. The immunesystem is a network of cells,

tissues, and organs that work together todefend the body against

attacks by disease causing microorganisms

such as bacteria,viruses,parasites, and fungi. 

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Fast facts:

  The spleen is the largest organ in thelymphatic system

  Enlarged lymph nodes are a sign of infection in colds and sore throats.

  The system acts life a filter thatremoves foreign bodies to preventInfections.

F. Digestive system – is a series of complex

organs and glands that processfood for utilization of body cells. It consists

of the mouth, pharynx,esophagus, stomach, small intestine,

large intestine rectum and anus.

The salivary glands, liver, gallbladder, andpancreas are major accessoryorgans that have a role in digestion.

Fast facts:

  The human mouth can produce 3 pintsof saliva a day.

  Chewing is the first stage of digestion.

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  The enzymes in the mouth help break 

down food.

Diagram of the digestive system

G. Respiratory system – helps supply bloodwith oxygen for transport to allparts of the body. It works with the

circulatory system to provide thisoxygen and to remove the waste products

of metabolism. It also helps

to regulate pH of the blood. The nose,pharynx, larynx, trachea, bronchi

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and lungs are parts of the respiratory

system.

Fast facts:

  In human beings, the right lung islarger than the left lung toaccommodate the heart.

  The droplets that come out fromcoughing are spread up to 3 feet.People are advised to cover the mouthwhen coughing.

Diagram of the respiratory system

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H. Urinary system – is the organ system that

produces, stores andeliminates urine and waste products of 

cellular metabolism. It includesthe two kidneys, two ureters, bladder,

urethra and two sphinctermuscles. The principal function of the

urinary system is to maintain thevolume and composition of body fluids

within normal limits.

Fast facts:

  The health status of a person can bedetermined through his/her urine.

  Urine can be tested to find out if aperson has urinary tract infection.

 The ancient Romans used urine as ableaching agent in washing clothes.

I. Nervous system - is responsible forsending, receiving and processing

of nerve impulses in the body. It is themajor controlling, regulatory, andcommunicating system in the body. It is

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the center of all mental activity including

thought, learning, and memory. Throughits receptors, the nervous system keeps usin touch with our environment, bothexternal and internal. It consist of twoparts: The central nervous system (main)and the peripheral nervous system(accessory).

Fast facts:

  There are millions of nerve cells in the

human body.   As we grow older, the brain loses a

gram of its weight every year.

  The nervous system transmits nerveimpulses at a tremendous speed of 100

meters per second.

J. Endocrine system – acts through chemicalmessengers called hormones

that influence growth, development, andmetabolic activities. It

coordinates the activities of the organsystems. The pituitary gland at the

base of the brain is the master gland.

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Fast facts:

   A specialist in the endocrine system isan endocrinologist

  The sex hormones are produced in thegonads. Gonads are ovaries infemales, testes in males.

  The endocrine system influences celland function of the body

K. Reproductive system - is a system within

an organism which workstogether toward reproduction. It consists

of gonads, associated ductsand external genital. Within the context of 

producing offspring, the

reproductive system has four functions:  To produce egg and sperm cell.  To transport and sustain these cells  To nurture the developing offspring

  To produce hormones

Fast facts:

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  The urologist is a physician that

specializesin male reproductive system.

  The specialist on women‟s reproductivesystem is called a gynecologist.

  Dysmenorrhea is the term called „painful‟ 

or difficult menstruation‟. 

LIST OF DOH ACCREDITED TRAININGINSTITUTIONS

 AKLAN – Hand-Med Integartive Health Center(HMIHC)

Osmena Ave., Kalibo, AklanTel. No. (036) 268-2910

Mobile No. 0929 7350080

 ANGELES CITY  – NMA Center of AquaticTherapy and Massage

(NMACATM) #2 Brgy Court Villa, Angela Subd., Angeles City

Tel No. (0929) 8062688

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CEBU/QUEZON CITY 

Cebu – International NKYR Academy(INKYRA)

Quezon City – Unit D, Pro Vita Bldg, 26,Columbia cor. Yale St.

Cubao, Quezon City,Tel. No. (02) 473 5115

ILOILO- Early Divine School Forever Alternative Medicine Rehabilitation andTraining Center (EDSFAMRTC).

59-A Escarilla Subd. Mandurriao, IloiloCity. Tel. No. 0927 6898089

ILOILO – Remnant Institute of Alternative

Medicine (RIAM)Jamerian Bld., Iznart St., Iloilo CityTel. No. (033) 3379298Mobile No. 0920 9513598

LAGUNA  – Hilot at Hilom Pilipinas (HIHIP)#33 Bakersfield St. Laguna Bel Air IDon Jose Sta. Rosa, Laguna

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Tel. No. (049) 544 0704

Mobile No. 0917 5457494

MAKATI – Spa@Work  Suite 2205,Cityland 10 Tower#2/154 H.V. dela Costa cor Valero St.,Salcedo Village, MakatiTel. No. 840-1239

PAMPANGA  – Central Luzon Alternative Healthand Devt. Inc (CLHAD)

2nd flr. ABN Bldg, MacArthur Highway, DelRosario,San Fernando, PampangaTel. No. (045) 861 2493 – Mobile No. 0915 9970969

QUEZON CITY/DAVAO-HIMAS Asia Wellnessand Spa

 Academy (AWSA)Manila main – 3F Crispina Bldg.

Quezon Ave., Quezon CityTel. No. (02) 4107369Mobile No. 0917 5117744

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Davao BranchD2, Sazon Bldg. Ponciano St., Davao CityTel. No./ (082) 305 1013Mobile No. 0927 6076543

TAGUM CITY  – Ventura College of NaturalTherapeuticHealth and Science (VCNTHS)Tagum City, Davao

Tel. No. (084) 218 2152

SPA AND MASSAGE ASSOCIATIONS

Philippine International Association of MassagePractitioners, Inc.(PHILPRAC)

Secretariat Office, 3F Crispina Bldg.1589 Quezon Ave. Quezon CityTel. No. 4107369

Mobile No. 0917 5117744

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Philippine Wellness and Spa Association

(PHILWELL)Rm 412,Office of the Product Research andDevelopmentDept. of Tourism, TM Kalaw St., ManilaTel. Nos. (02) 5466738Mobile No. 0917 8975678

Philippine Association of Massage Therapists,Inc. (PALMT)2nd Flr. ABN Bldg, Mc Arthur Highway, DelRosario,

San Fernando, PampangaTel. No. 045) 861 2493Mobile No. 0915 997099969

REFERENCES:

 Administrative Order 2010-004, “RevisedImplementing Rules and RegulationsGoverning Massage and Sauna bathEstablishments”  

DOH Massage Therapy Manual (2010)PD 856- “Code of Sanitation of the Philippines”  Pilzer, Paul Zane, The Wellness Revolution

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Salvo, Susan, Massage Therapy: Principles

and PracticeTESDA, www. tesda.gov.phWikipedia- www.en.wikipedia.org Google – www.google.com

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