How to transfer your Respiratory therapist licence to Iowa (2026)

Respiratory therapist work in Iowa is licensed at state level, by the Iowa respiratory care board or licensing program. This page says what a respiratory therapist licensed or working in another state has to do to work in Iowa, in the order to do it, and what goes wrong when the order is reversed.
How the transfer works
Every state licenses respiratory therapists and every one accepts NBRC credentials as the basis for licensure by endorsement. Apply to Iowa's board with your NBRC credential, verification of your current licence, a background check and the fee.
Exam: NBRC (CRT or RRT).
How long: two to eight weeks. Fee: $50 to $250; the current figure is on the licensing body's own site.
What to have ready before you move
- NBRC credential
- Licence verification from your current state
- Continuing education record
Start the paperwork before you give notice. Every week the licence is not done is a week you are not paid, and nothing in the process needs you to be in Iowa already.
What people get wrong
- Starting the application after accepting the job; a month of waiting is normal
- Letting the NBRC credential lapse
Who hires respiratory therapists in Iowa
Respiratory therapists in Iowa are hired by hospitals, long-term acute care, home oxygen and sleep labs. The metros with the most of that work are Des Moines, Cedar Rapids, Davenport and Iowa City. Employers who could not hire locally and have filed with the Department of Labor are on the Iowa openings page.
For the money side: the median respiratory therapist in Iowa earned $68,790 a year ($33 an hour) in May 2024 across 1,050 jobs, according to the Bureau of Labor Statistics, and Iowa has a flat 3.8% state income tax. What that leaves you after tax is its own page.
Iowa also has a program that pay people to move in: Newton Housing Initiative (up to $10,000 toward a newly built home, for anyone building or buying a new home in Newton; a construction incentive rather than a hiring one). Each has a residence condition and a funding round.
Everything about Iowa, on one page
The Iowa page has the registries and boards, the income tax table, the programs that pay you to come and the openings filed this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Iowa employers hiring from out of state.
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