A rotating & tapping type massage device comprises: a base, a drive motor, a drive gear assembly, a driven member, a push member, a driven shaft and a massage member. The drive motor rotates the drive gear assembly, the drive gear assembly rotates the driven member, and then the drive member pushes the push member when rotating. The driven member is provided with skew teeth to be engaged with skew concaves formed on the push member. When the driven member rotates in different directions, it can selectively cause rotation or repeated up and down displacement of the push member, and meanwhile, the push member drives the driven shaft to move and makes the massage member disposed on the driven shaft rotate or move up and down repeatedly, so that the massage member can selectively massage in a rotation or tapping manner.