I recognize that I won't be a great fit for every client, but I don't want accessibility to be that reason. Also, as we get older things change. I've adjusted my massage style and positioning for regular clients who were diagnosed with cancer or other conditions that make it uncomfortable to receive deep work or lay in certain positions. Over the years, I have invested in different cushions, bolsters, an ADA-compliant massage table, and education to provide more options for comfort. They may not work for everyone, but we usually find a way that let's clients stay cozy during their massage. 

The building I work at is stair-access only, but because I work on the main floor, I am next to ADA-accessible restrooms, and I have a portable ADA ramp for the front porch steps. While we don't have wheelchair-accessible parking, I will meet clients where they're parked or at the nearest bus stations with the ramp, as I know our streets and sidewalks are usually inaccessible.