Acute and chronic pain carry substantial economic, operational, and personal consequences within the Department of Defense (DoD). Musculoskeletal pain, such as nonspecific lower back and osteoarthritis pain, is common in both the MHS and Veterans Administration beneficiaries. To reduce the probability of opioid initiation and improve quality of life among service members and veterans, effective nonpharmacological interventions are needed as standard of care in Military Treatment Facilities (MTFs). The Defense Health Agency (DHA) is currently implementing a Stepped Care Model approach to healthcare, including pain management. As part of this model, integrative therapies, including massage therapy, could be feasibly included as standard-of-care at the primary care level. Massage therapy is an evidence-based approach to reducing chronic pain impact. The present study examines massage therapy integration and utilization patterns across the MHS from June 1, 2021-May 31, 2023. This presentation will present 1. Who receives massage therapy (e.g., patient characteristics and diagnoses); 2. Who provides massage therapy (e.g., massage therapists, physical therapists); and 3. Where is massage therapy provided (e.g., MTF, clinic type). Data included medical records of adult TRICARE Prime eligible beneficiaries who received direct, outpatient massage therapy (Current Procedural Terminology codes: 97124, 97140). Patient-level information included demographic characteristics (e.g., age, assigned sex, race, Service branch, military rank) and medical information (e.g., medications, diagnoses); care-level information included provider type categorized using taxonomy codes established by the Health Insurance Portability and Accountability Act (HIPAA) taxonomy and location of care. Univariate and descriptive statistics describe patterns in massage therapy utilization. Data from this health services research study can inform resource allocation and policy gaps in pain management across the MHS; to include the extent to which (1) massage therapy services are being integrated as standard of care across levels of healthcare (e.g., primary, secondary, specialty/tertiary) and (2) massage therapy is equitably received.