Professions / Healthcare

Occupational licensing · Healthcare · 51 state boards

Respiratory Therapist Licensing Requirements by State

Respiratory Therapist licensing rules differ by state. According to the National Conference of State Legislatures (NCSL) compilation and responsible state boards (current as of May 15, 2026), this registry compares education hours, initial and renewal fees, exams, background checks and reciprocity notes across 51 boards. Use the table to compare differences, then verify the current rule with the responsible board before applying.

Respiratory Therapist across 51 state boards. Nearest coverage peers (51-state band): Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

States regulated
51
Avg initial fee
$142
Require an exam
100%
Avg education hours
1,959
View saved licenses

Board Pathway Strip

Respiratory Therapist: 51 boards · ~1,959 avg pre-licensure hrs · exam on 100% · background check on 100% · avg first fee $142. Same-lane boards: Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

Respiratory Therapist1959 hrsVeterinary Technician1959 hrsRadiologic Technologist2122 hrsParamedic1567 hrsRegistered Nurse2459 hrs
Pre-licensure hour neighbourhood for Respiratory Therapist

Respiratory Therapist vs. every tracked profession

Average confirmed pre-licensure education hours, board-sourced state requirements

1,959 21st of 47 higher than 26 of 47 professions

professions with confirmed education-hour requirements, bucketed by value

Each bar is a band; taller bars hold more professions. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source PlainCredential NCSL and state-board corpus · 2026

Treats patients with breathing disorders. Requires TMC exam.

Respiratory Therapist initial fees swing $50 (NH) to $247 (CA), a $197 spread across 51 boards ; Athletic Trainer often lands on a different fee band.

Board thresholds for Respiratory Therapist drift board-to-board; the same pattern shows up on Athletic Trainer and Certified Nurse-Midwife in healthcare. Methodology notes live on our methods page.

Respiratory Therapist states

51

Bottom quartile, lowest

Respiratory Therapist edu hrs

1,959 hrs

Above median

Respiratory Therapist first fee

$142

Below median

Respiratory Therapist renewal

$119

Below median

Board gates for Respiratory Therapist: exam on 51/51 (100%), background check on 51/51 (100%) , CE on 51/51 (avg 24 hrs/cycle) . Stack that against Athletic Trainer / Certified Nurse-Midwife before calling this license soft or hard.

Respiratory Therapist: nationwide coverage neighbours

Coverage band

Hour load

Cheapest vs priciest jurisdiction for Respiratory Therapist

A $197 fee spread for the same credential

Initial licensing fees in New Hampshire ($ 50) and California ($ 247) bracket the field, a 4.9× spread for identical practice rights.

NH

New Hampshire

$50 initial licensing fee
Renewal cycle
2 years

CA

California

$247 initial licensing fee
Renewal cycle
2 years

Respiratory Therapist boards vs Athletic Trainer / Certified Nurse-Midwife - state table

51 states
State Edu. Hours Exam Init. Fee Renewal Cycle CE Hrs Same-board peer
Alabama 1,811 Yes $112 $97 2 yrs 24 Also Mobile Home Installer · Painter (Contractor)
Alaska 1,649 Yes $80 $72 2 yrs 24 Also Medical Lab Technician · Optometrist
Arizona 2,332 Yes $216 $175 2 yrs 24 Also Physical Therapist · Psychologist
Arkansas 1,743 Yes $99 $86 2 yrs 24 Also Optometrist · Phlebotomist
California 2,486 Yes $247 $198 2 yrs 24 Also Real Estate Agent / Salesperson · School Librarian / Media Specialist
Colorado 2,351 Yes $220 $178 2 yrs 24 Also Surgical Technologist · Water Well Driller
Connecticut 2,176 Yes $185 $151 2 yrs 24 Also Veterinarian · Athletic Agent
Delaware 2,054 Yes $161 $133 2 yrs 24 Also Water Well Driller · Auctioneer
District of Columbia 2,073 Yes $165 $136 2 yrs 24 Also Veterinarian · Athletic Agent
Florida 2,122 Yes $174 $143 2 yrs 24 Also Interior Designer · Marriage and Family Therapist
Georgia 1,959 Yes $142 $119 2 yrs 24 Also Locksmith · Nail Technician
Hawaii 2,289 Yes $208 $168 2 yrs 24 Also Professional Geologist · Roofer
Idaho 1,635 Yes $77 $70 2 yrs 24 Also Security Alarm Installer · Tax Preparer
Illinois 2,419 Yes $234 $188 2 yrs 24 Also Taxi/Ride-Share Driver · Arborist / Tree Surgeon
Indiana 1,932 Yes $136 $115 2 yrs 24 Also Veterinarian · Athletic Agent
Iowa 1,689 Yes $88 $78 2 yrs 24 Also School Counselor · Substitute Teacher
Kansas 1,676 Yes $85 $76 2 yrs 24 Also Home Health Aide · Licensed Clinical Social Worker (LCSW)
Kentucky 1,770 Yes $104 $91 2 yrs 24 Also Landscape Architect · Medical Assistant
Louisiana 2,230 Yes $196 $159 2 yrs 24 Also Hearing Aid Specialist · Landscape Architect
Maine 1,527 Yes $55 $54 2 yrs 24 Also Optician (Dispensing) · Pharmacy Technician
Maryland 2,162 Yes $182 $149 2 yrs 24 Also Occupational Therapist · Pharmacist
Massachusetts 2,135 Yes $177 $145 2 yrs 24 Also Mortgage Loan Originator · Paramedic
Michigan 1,973 Yes $145 $121 2 yrs 24 Also Pest Control Applicator · Plumber
Minnesota 1,851 Yes $120 $103 2 yrs 24 Also Physical Therapist · Psychologist
Mississippi 1,797 Yes $109 $95 2 yrs 24 Also Professional Engineer (PE) · Registered Nurse
Missouri 1,838 Yes $118 $101 2 yrs 24 Also Physician Assistant · Radiologic Technologist
Montana 2,257 Yes $201 $164 2 yrs 24 Also Professional Geologist · Roofer
Nebraska 1,662 Yes $82 $74 2 yrs 24 Also Radiologic Technologist · School Counselor
Nevada 2,389 Yes $228 $183 2 yrs 24 Also Tax Preparer · Animal Breeder
New Hampshire 1,500 Yes $50 $50 2 yrs 24 Also Registered Dietitian / Nutritionist · Security Alarm Installer
New Jersey 2,149 Yes $180 $147 2 yrs 24 Also Roofer · Sign Language Interpreter
New Mexico 2,270 Yes $204 $166 2 yrs 24 Also School Librarian / Media Specialist · Surgical Technologist
New York 2,089 Yes $168 $138 2 yrs 24 Also Veterinarian · Athletic Agent
North Carolina 1,946 Yes $139 $117 2 yrs 24 Also Professional Geologist · Roofer
North Dakota 1,608 Yes $72 $66 2 yrs 24 Also Psychologist · School Bus Driver
Ohio 2,014 Yes $153 $127 2 yrs 24 Also Veterinarian · Athletic Agent
Oklahoma 1,703 Yes $91 $80 2 yrs 24 Also Amusement Ride Operator · Barber
Oregon 2,441 Yes $238 $191 2 yrs 24 Also Barber · Childcare Center Director
Pennsylvania 2,068 Yes $164 $135 2 yrs 24 Also Barber · Childcare Center Director
Rhode Island 2,243 Yes $199 $161 2 yrs 24 Also Medical Assistant · Optician (Dispensing)
South Carolina 1,716 Yes $93 $82 2 yrs 24 Also Pest Control Applicator · Plumber
South Dakota 1,581 Yes $66 $62 2 yrs 24 Also Pesticide Applicator (Commercial) · Private Investigator
Tennessee 1,878 Yes $126 $107 2 yrs 24 Also Surgical Technologist · Water Well Driller
Texas 2,027 Yes $155 $129 2 yrs 24 Also Arborist / Tree Surgeon · Body Piercer
Utah 1,784 Yes $107 $93 2 yrs 24 Also Commercial Truck Driver (CDL) · Electrician
Vermont 1,541 Yes $58 $56 2 yrs 24 Also General Contractor · Insurance Agent
Virginia 1,905 Yes $131 $111 2 yrs 24 Also Chauffeur / Limousine Driver · Dental Hygienist
Washington 2,311 Yes $212 $172 2 yrs 24 Also Food Handler / Food Safety Certification · Home Inspector
West Virginia 1,784 Yes $107 $93 2 yrs 24 Also Mobile Home Installer · Painter (Contractor)
Wisconsin 1,824 Yes $115 $99 2 yrs 24 Also HVAC Technician · Licensed Professional Counselor
Wyoming 1,554 Yes $61 $58 2 yrs 24 Also Notary Public · Pesticide Applicator (Commercial)

What to do with this

Respiratory Therapist is regulated in 51 states -- here's how to use that before you act.

  • Respiratory Therapist ranks #21 of 47 professions by average pre-licensure education hours -- see how it compares to similar roles. Browse all professions
  • #79 of 97 professions by number of states requiring a license -- see which states are strictest overall. State burden rankings
  • Initial fees for Respiratory Therapist range from $50 (NH) to $247 (CA) -- check whether your license transfers before assuming you'd need to pay again. Reciprocity guide

Requirements are compiled from NCSL and Institute for Justice research and verified against state board sites where possible; always confirm current rules with the licensing board before relying on any single row.

Data sourced from NCSL, Institute for Justice, and state licensing board websites. See our methodology for details.

Disclaimer: For informational purposes only; not professional licensing advice. Verify current requirements with your state board before making career decisions.

Every figure on PlainCredential is rendered directly from NCSL and state occupational- licensing board data, no number is typed in by an editor. Respiratory Therapist requirements from NCSL and state board schedules: 51 rows, no hand-typed figures. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.