Here in Mass there is none, which I think is too bad. I have very strong feeling about that. I don't think that 200 hr. course quilfies someone as an EMT if you have no massage back ground. I have yet to find an Equine Massage course that impresses me. I am on the hunt for a coures that is geard toward already being a massage therapist. All the courses I have found are made for people who have no massage background.