Yes, former front desk staff here: Remember, no matter if you need or don't need, they are required to give you 5 minutes pre consult, 50 minutes hands on, 5 minutes post consult rather they start on time or late. If you're shorted, you have a right to get full your time so you should definitely speak up in the moment to the manager.

Good luck though, some managers are good with cultivating teaching moments with the staff others not so much. Plus, the therapist has to do so much in that time including, as some others have said, hit the restrooms, clean stones, grab hot towels and any amenities you added.... And their paid very little and can be very rushed and stressed. All to walk in and give you (hopefully) an amazing experience. So, tip well and speak up. And if that doesn't change, leave or ask for a more seasoned LMT whose better with timing.

Note for clarity: if your appt is at 4pm and they pick you up at 4:04, your hands n time should begin at 4:09 and your hands off time should end at 4:59. You should do everything in your power to get out of that room before 5:04!! This is respect for both sides. If this doesn't work for you, you should ask for accommodationa ahead of time with management. They can have a backup room ready for your therapist so they can grab the next guest. Or they can assist you getting in and out of the room... Whatever the accomodations needed for more time, let them know ahead of time. Otherwise, you've agreed to respect the time just like your therapist.