The Level IV (Upper - Lower) Certified Teachers are certified by ITM THAILAND to teach Level IV Advanced Therapeutic Thai Massage Upper Body and Level IV Advanced Therapeutic Thai Massage Lower Body under ITM curriculum. Students of Level IV (Upper - Lower) taught by Level IV Certified Teacher are recognized by ITM Thailand to proceed to Level V Teacher Training and other advanced courses.

Students of Level IV Certified Teacher who wish to continue their studies at ITM THAILAND must present the certificates issued by ITM THAILAND.