A massage apparatus with integrated rotating and reciprocating massage mechanisms is capable of providing distinct shiatsu and tapping massage effects independently and simultaneously. The massage apparatus includes at least one rotating massage node rotating about an axis to form a circular path and at least one reciprocating massage node reciprocating inside the circular path. The rotating massage node(s) may rotate on a rotating base driven by a rotating drive mechanism (e.g., a motor), and the reciprocating massage node(s) may be driven by a reciprocating drive mechanism (e.g., a solenoid) through an aperture in the rotating base. The massage apparatus may include one or more sets of integrated rotating and reciprocating massage mechanisms. The massage apparatus may be enclosed in different types of enclosures (e.g., massage chair, cushion, chair topper, drapable enclosure) configured to engage various parts of the body (e.g., neck, back, shoulders) to impart the massage effects.