A person may not: 1. Practice massage, attempt to practice massage, or teach massage techniques, for a fee or gratuity or as a free demonstration, without a license issued under this chapter; 2. Operate or conduct a massage establishment unless it meets the requirements adopted by the board; 3. Employ an unlicensed person to perform a massage; or 4. Use the title "massage therapist" or the abbreviations "L.M.T." or "M.T." or terms of similar meaning without a license issued by the board.