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Respiratory Therapist License in Missouri

Missouri requires a state-level respiratory therapist license. The licensing authority is State Board of Respiratory Care. The median salary is $70,164 per year.

Last updated 2026-05-08

Experience
— months
Exam Fee
$190
Passing Score
70%
Avg Salary
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What are the respiratory therapist license requirements in Missouri?

01

Missouri requires a respiratory therapist to hold a state license. Evaluate, treat, and care for patients with breathing disorders and cardiopulmonary diseases. Licensing is administered by the State Board of Respiratory Care.

Minimum Age18 years old
EducationAssociate or bachelor's degree in respiratory therapy from CoARC-accredited program
Experience DetailsAssociate or bachelor's degree in respiratory therapy from CoARC-accredited program

What exam do you need for a respiratory therapist license in Missouri?

02

Missouri requires passing the Missouri TMC + Clinical Simulation Exam (NBRC) with a minimum score of 70%. The application fee is $190.

Exam NameMissouri TMC + Clinical Simulation Exam (NBRC)
Passing Score70%
Code EditionTMC + Clinical Simulation Exam (NBRC)
Application Fee$190

How do you get a respiratory therapist license in Missouri?

03

Getting licensed as a respiratory therapist in Missouri takes 24 months on the typical path. Here are the steps.

1
Register with the state
Register with State Board of Respiratory Care before beginning work.
2
Accumulate required experience
Complete — months of supervised work experience.
3
Apply for the exam
Submit your application and $190 fee through the state portal.
4
Pass the exam
questions, 70% to pass.
5
Receive your license
After passing, your license will be issued. Renew every 2 years.

How much does a respiratory therapist license cost in Missouri?

04

The total cost includes an exam application fee of $190 and renewal fees of $190 every 2 years. Continuing education of 30 hours is required per renewal cycle.

FeeAmount
Exam Application$190
License Renewal$190 every 2 years
Continuing Education30 hours

How much do respiratory therapists make in Missouri?

05

Respiratory Therapists in Missouri earn a median salary of $70,164, which is less than the national average. Data from BLS OEWS May 2024.

25th Percentile
Median
$70,164
75th Percentile
Mean (average)— / year
Entry level (10th pct)
Top earners (90th pct)
Total employed— in Missouri
National average$77,960

Frequently Asked Questions

07

Is a license required to work as a respiratory therapist in Missouri?

Yes — Missouri requires a state-level respiratory therapist license. Evaluate, treat, and care for patients with breathing disorders and cardiopulmonary diseases.

What exam is required for a respiratory therapist license in Missouri?

The required exam is the Missouri TMC + Clinical Simulation Exam (NBRC). You need a score of 70% to pass. The exam fee is $190.

How much do respiratory therapists make in Missouri?

The median annual salary for respiratory therapists in Missouri is $70,164. The national median is $77,960.

What are the continuing education requirements for respiratory therapists in Missouri?

Missouri requires 30 hours of continuing education for license renewal every 2 years.

How long does it take to get a respiratory therapist license in Missouri?

The fastest path takes approximately 6 months. The typical path takes 24 months including experience requirements.

Related

Data last verified April 2026. Requirements may change — always verify with the State Board of Respiratory Care.