Massage therapists fall inside the 2025 tip deduction: the work is a customarily tipped personal-care occupation, so reported tips are deductible from federal taxable income up to $25,000 a year. The deduction applies with or without itemizing and runs through 2028.

Spa and clinic therapists are usually W-2 employees — their reported tips show on the wage statement and deduct directly. Independent LMTs and those renting room space are self-employed: booking-app and card tips arrive on a 1099-K, cash tips go on your own records, and the deduction is limited to the net income of the practice. Only reported tips qualify.

As with all tipped work, the deduction cuts federal income tax but not self-employment tax, and it phases out above $150,000 of income ($300,000 joint). Independent therapists are the ones most likely to have missed it in 2025, because tax software tends to treat an entire 1099-K as untipped service revenue. Form 1040-X fixes that.