The Federation of State Massage Therapy Boards (FSMTB) is a nonprofit, non-governmental organization (NGO) that developed and maintains the Massage & Bodywork Licensing Examination (MBLEx). The FSMTB was established in 2005, and is governed by a board of directors.  The FSMTB currently has 43 member states, plus the territory of Puerto Rico. The mission of the FSMTB is to support all of its member boards in their efforts to ensure that massage therapy is provided to the public in a safe and effective manner, and by competent, licensed therapists.