Most massage therapists will at some time move on from being an employee to starting their own massage business. There are many resources available to help you with everything from planning your business startup, creating your website and getting clients.
The easiest way to start is to just become a sole proprietor and be a one person massage business. You can open any type of massage business that you would like – a spa/wellness practice, clinical rehab massage, sports massage business, oncology based massage business, hospital based massage, chair massage or most any type of massage business you can think of. The best way to start is to find an office to rent from another practitioner or share office space to keep the overhead and responsibilities low. It will give you the most security while you build your massage business. As you grow and learn you can take the next step and hire employees and you can still do that as a sole proprietor but most will create a Limited Liability Company (LLC or in some states you have to be a Professional Limited Liability Company PLLC.)
When you have enough business that you need help, you may consider hiring other massage therapists to start doing some of the work or you can raise your rates to help you manage your workload. Raising your rates will cause some regular clients to drop out of your schedule and allow you to focus on more profitable clients. (It is just business!) Just because you have a full practice doesn’t mean you always have to move to hiring someone, although it is a logical business growth step. Hiring others takes a bit more knowledge and skill in hiring and managing people. You will have to set up payroll, workers compensation plans and figure out employee taxes or hire a company to do that for you. You will need to create employee policy manuals and other rules to build a team that supports your business model.