City Survivability Rankings for Massage Therapy Clinic
StreetSpring's 2026 analysis ranks the top cities for Massage Therapy Clinics across the US by Survivability Scores. See which cities offer the best chances for a Massage Therapy Clinic to succeed.
Quick Summary
- The highest-survivability city for Massage Therapy Clinic is Dallas — 72% average survivability
- 2 of 24 analyzed US metros score above 70% for Massage Therapy Clinic survivability
- The lowest-ranked city is Philadelphia at 67%
- National average survivability score for Massage Therapy Clinic: 68.6%
- Data reflects 2026 StreetSpring survivability analysis across 24 US metro areas · Full methodology →
Table of Contents
- Summary
- Top Cities for Massage Therapy Clinics
- Key Insights
- What Makes These Cities Stand Out?
- Related Resources
- How current is this ranking?
- Can a Massage Therapy Clinic succeed in cities not ranked in the top 10?
- What tools can help me choose the right city for a Massage Therapy Clinic?
- Which US city has the best survivability for Massage Therapy Clinics?
Summary
According to StreetSpring's 2026 nationwide analysis, Dallas ranks as the #1 city for opening a Massage Therapy Clinic in the United States, with an average 72% chance of surviving more than 2 years. Following close behind are Portland with 70%, and Phoenix with 69%. Massage Therapy Clinics sit at a national average of 68.6% survivability across our 24-city analysis, with Dallas leading the field by a meaningful margin. Still, specific site selection matters — some of the best-performing blocks can be found in cities that might not look ideal on average. The best way to use these rankings is as a starting point — layer in your own market research and local knowledge before committing.
Survivability ranges reflect best and worst storefront conditions within each city. See our full methodology →
Massage Therapy Clinic city survivability rankings — Dallas leads among 24 US metros at 72% in 2026
Where Massage Therapy Clinics Stand Across 24 US Metros
Based on StreetSpring's analysis of 24 major metropolitan areas, these cities offer the strongest prospects for Massage Therapy Clinics:
1. Dallas Metro: Dallas-Fort Worth-Arlington, TX
- Best locations: 79.4% – 89.0%
- Average locations: 68.2% – 73.6%
- Challenging locations: 44.0% – 63.3%
What the score range across cities tells you
2. Portland Metro: Portland-Vancouver-Hillsboro, OR-WA
- Best locations: 79.3% – 90.0%
- Average locations: 67.6% – 72.8%
- Challenging locations: 46.0% – 63.1%
3. Phoenix Metro: Phoenix-Mesa-Chandler, AZ
- Best locations: 78.2% – 89.0%
- Average locations: 66.6% – 71.8%
- Challenging locations: 46.0% – 62.4%
4. San Antonio Metro: San Antonio-New Braunfels, TX
- Best locations: 76.9% – 86.0%
- Average locations: 66.6% – 71.4%
- Challenging locations: 46.0% – 62.4%
5. San Francisco Metro: San Francisco-Oakland-Fremont, CA
- Best locations: 77.7% – 88.0%
- Average locations: 65.9% – 71.6%
- Challenging locations: 41.0% – 60.8%
6. Los Angeles Metro: Los Angeles-Long Beach-Anaheim, CA
- Best locations: 77.7% – 88.0%
- Average locations: 66.0% – 71.5%
- Challenging locations: 42.0% – 61.1%
7. St Louis
- Best locations: 76.7% – 86.0%
- Average locations: 65.5% – 71.2%
- Challenging locations: 39.0% – 60.1%
8. Denver Metro: Denver-Aurora-Centennial, CO
- Best locations: 77.1% – 87.0%
- Average locations: 65.9% – 71.2%
- Challenging locations: 43.0% – 61.2%
9. Miami Metro: Miami-Fort Lauderdale-West Palm Beach, FL
- Best locations: 78.9% – 91.0%
- Average locations: 65.8% – 71.6%
- Challenging locations: 42.0% – 60.9%
10. San Diego Metro: San Diego-Chula Vista-Carlsbad, CA
- Best locations: 78.4% – 90.0%
- Average locations: 65.6% – 71.4%
- Challenging locations: 42.0% – 60.8%
11. Tampa Bay Metro: Tampa-St. Petersburg-Clearwater, FL
- Best locations: 77.0% – 87.0%
- Average locations: 65.4% – 71.0%
- Challenging locations: 40.0% – 60.2%
12. Orlando Metro: Orlando-Kissimmee-Sanford, FL
- Best locations: 78.3% – 90.0%
- Average locations: 66.0% – 71.3%
- Challenging locations: 46.0% – 61.9%
Why the same business does so differently city to city
13. Minneapolis Metro: Minneapolis-St. Paul-Bloomington, MN-WI
- Best locations: 77.8% – 89.0%
- Average locations: 65.3% – 71.0%
- Challenging locations: 41.0% – 60.3%
14. New York City Metro: New York-Newark-Jersey City, NY-NJ
- Best locations: 78.2% – 90.0%
- Average locations: 65.1% – 71.1%
- Challenging locations: 40.0% – 59.9%
15. Charlotte Metro: Charlotte-Concord-Gastonia, NC-SC
- Best locations: 76.3% – 86.0%
- Average locations: 65.1% – 70.5%
- Challenging locations: 41.0% – 60.2%
16. Boston Metro: Boston-Cambridge-Newton, MA-NH
- Best locations: 77.1% – 88.0%
- Average locations: 64.8% – 70.5%
- Challenging locations: 40.0% – 59.7%
17. Detroit Metro: Detroit-Warren-Dearborn, MI
- Best locations: 77.0% – 88.0%
- Average locations: 64.6% – 70.5%
- Challenging locations: 39.0% – 59.4%
18. Washington DC Metro: Washington-Arlington-Alexandria, DC-VA-MD-WV
- Best locations: 77.9% – 90.0%
- Average locations: 64.7% – 70.7%
- Challenging locations: 40.0% – 59.6%
19. Seattle Metro: Seattle-Tacoma-Bellevue, WA
- Best locations: 77.9% – 90.0%
- Average locations: 64.9% – 70.6%
- Challenging locations: 43.0% – 60.5%
20. Chicago Metro: Chicago-Naperville-Elgin, IL-IN
- Best locations: 76.8% – 88.0%
- Average locations: 64.5% – 70.1%
- Challenging locations: 41.0% – 59.7%
21. Houston Metro: Houston-Pasadena-The Woodlands, TX
- Best locations: 76.8% – 88.0%
- Average locations: 64.2% – 70.0%
- Challenging locations: 39.0% – 59.0%
22. Baltimore Metro: Baltimore-Columbia-Towson, MD
- Best locations: 77.1% – 89.0%
- Average locations: 64.1% – 70.0%
- Challenging locations: 40.0% – 59.2%
23. Atlanta Metro: Atlanta-Sandy Springs-Roswell, GA
- Best locations: 77.0% – 89.0%
- Average locations: 64.3% – 69.8%
- Challenging locations: 43.0% – 59.9%
24. Philadelphia Metro: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
- Best locations: 76.3% – 88.0%
- Average locations: 63.6% – 69.3%
- Challenging locations: 40.0% – 58.7%
What Stands Out in the Numbers
| Signal | Where strong-survivability cities outperform | What drags weaker cities down |
|---|---|---|
| Daytime vs residential population mix | Cities with strong daytime employment density near the storefront catchment — CBD-adjacent mixed-use corridors. | Bedroom-community metros where daytime population evaporates by 9am and consumption shifts to 6pm dinner-only windows. |
| BLS QCEW retail employment trend | Cities with positive 3-year retail employment growth — proxy for local demand expansion. | Cities showing flat or declining retail employment over the same window. |
| Market size vs saturation | Mid-sized metros with established demand but room for new entrants — under-served pockets in 1.5M–5M population markets. | Either tier-1 cities saturated with national chains, or thin markets under 500K population where demand can't sustain a category. |
Wide variation between cities: The difference between the #1 city (Dallas at 71.5%) and the #24 city (Philadelphia at 66.8%) is 4.8 percentage points. For Massage Therapy Clinics, a 1.0-point difference between the top two cities underscores how much geographic selection influences long-term viability.
National average: Across all 24 analyzed cities, the average survivability for a Massage Therapy Clinic is 68.6%.
The Common Threads in Top Massage Therapy Clinic Cities
The top-ranked cities share several characteristics that favor Massage Therapy Clinics:
- Strong survivability signals: Dallas leads with a 72% average survivability score for Massage Therapy Clinics — significantly above the national average for this business category.
- Competition density: The top cities show favorable competitor-to-opportunity ratios for Massage Therapy Clinics, meaning lower saturation and higher odds of capturing an underserved customer base.
- Neighborhood diversity: Within each top city, high-survivability zones appear across multiple neighborhood types — from dense urban cores to established suburban strips.
- Consumer demand signals: StreetSpring's data captures foot traffic patterns, competitor review velocity, and demographic fit — all pointing toward sustained demand for Massage Therapy Clinics in these markets.
This analysis leverages machine learning trained on hundreds of thousands of business lifecycle events to produce reliable survivability forecasts. We incorporate data from thousands of neighborhoods and hundreds of thousands of individual businesses. These insights come from StreetSpring's exclusive, in-house forecasting models.
Visual Data
Related Resources
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How fresh is this city-survivability data?
Rankings are updated quarterly. The current data reflects StreetSpring's 2026 analysis, with the next full dataset refresh scheduled for Q3 2026. As market conditions shift across major metros, individual city scores can move meaningfully between updates — particularly for Massage Therapy Clinics, where local competition density and consumer spending patterns respond quickly to new entrants and neighborhood change. For the most current score at any specific address, use StreetSpring's live survivability tool rather than the static ranking above.
Can a Massage Therapy Clinic succeed in cities not ranked in the top 10?
Yes — our top 10 ranking reflects cities with the strongest average conditions, but lower-ranked metros can still contain exceptional individual neighborhoods. Many operators successfully open Massage Therapy Clinics in cities that don't appear in our top 10. Massage Therapy Clinics in particular can find strong performance in secondary markets where the right demographic concentration, household income, and limited direct competition within walking distance align — even outside our highest-ranked cities. StreetSpring's neighborhood-level data surfaces these pockets of opportunity in every city we analyze, regardless of where the city as a whole ranks nationally.
Which resources help pick the right metro for a Massage Therapy Clinic?
StreetSpring's Survivability Score tool provides address-level predictions for Massage Therapy Clinics across all 24 metros we track. For this category specifically, the tool surfaces competition density, consumer spending index for Massage Therapy Clinics, and commercial vacancy rates — the factors that most consistently predict whether a Massage Therapy Clinic will still be operating after two years. You can check any specific address before signing a lease and compare multiple neighborhoods side by side to identify the highest-survivability site within your target city.
Try the Survivability Score tool →
What is the #1 city for Massage Therapy Clinics?
Dallas ranks as the #1 city in the US for Massage Therapy Clinics survivability in StreetSpring's 2026 analysis, with an average score of 72%. This means that across well-selected neighborhoods in Dallas, a Massage Therapy Clinic has approximately a 72% chance of still operating after two years — above the national average for this category. Portland ranks second, followed by Phoenix. The full ranking reflects data across 24 major US metro areas — see the complete list above for all scores and neighborhood-level links.
Reviewed: April 25, 2026 by Bobby Koons, StreetSpring founder
Technical note: Aggregated national survivability rankings across all 24 metros are available in machine-readable format for research and integration purposes.
StreetSpring recalculates survivability using the latest competitive, demographic, and foot traffic data, so the live score may differ from the static ranges shown here.
Methodology: City rankings aggregate neighborhood-level Survivability Scores (max, average, and min) across all analyzed neighborhoods in each metro area. Rankings reflect average conditions but do not account for variation within cities. Coverage includes 24 major US metropolitan areas: Dallas, Portland, Phoenix, San Antonio, San Francisco, Los Angeles, St Louis, Denver, Miami, San Diego, Tampa Bay, Orlando, Minneapolis, New York City, Charlotte, Boston, Detroit, Washington DC, Seattle, Chicago, Houston, Baltimore, Atlanta, Philadelphia.