The casino spas are sometimes looking for therapists, but the work is 'assembly-line' massage on vacationers and convention attendees - there are no returning clients. 

Many local chiropractors have therapists, but they often function more as office help than therapists. We've heard many horror stories from disillusioned therapists in chiropractor offices.  And be extremely careful if you intend to rent space in one. It just doesn't seem to work.

Most of the massage establishments in town are spa oriented. Usually, in-call therapists in these spas are independent contractors working to build a personal client base. Many of these establishments also have out-call services where most newcomers get started. One big problem with out-call is that cross-gender is no longer legal and the police are actively enforcing the law through 'stings'. It seems that most out-call requests are from male clients - and they generally don't want a male therapist. It's a 'catch 22' and many of the new graduates enter the market doing out-call until they burn-out and give up.

Then, there are a few clinics like ours. We carefully promote the fact that we do treatment (or 'medical') massage - with healing as the objective - as compared to the spas. Most of our clients return and many of them produce referrals. To maintain our reputation we must be very selective in allowing therapists to work with us. There are few positions available in this market and starting a new establishment is very expensive and time consuming. 

Most therapists know they'll never become rich, and the Las Vegas environment is no different. Expect to spend a lot of time getting started. Good luck.

We operate under licensing from Clark County, Nevada, which is very similar to the Las Vegas City and Henderson City licensing statutes which apply to other therapists in the area.  In a nutshell, these are the primary therapist related directives:

There are two types of massage therapists: Employees of an establishment and Independent Massage Therapists (i.e. self-employed independent contractors). Employees are not required to obtain a business license while Independent Massage Therapists are. Both, however, are required to prove worthiness to the Las Vegas Metro Police Department (LVMPD) prior to being issued a 'work card' to perform massage. The LVMPD verifies training and business history, NCBTMB certification (required), character references, police record check, financial situation, etc.

There is no cross-gender out-call allowed in the cities or county. However, it is allowed during in-call in a spa or clinical setting.

Licenses are semi-annual and the process is relatively expensive. Nevada does not have income taxes, but they make up for it in other ways.

Here is the link to the Clark County, Nevada Code. 
(Click on 'Title 7 BUSINESS REGULATIONS', 
and then 'Chapter 7.08 MASSAGE ESTABLISHMENTS'.)