Medical spa and spa license requirements to start your wellness business

In today’s beauty and wellness landscape, spas and medical spas have become part of self-care routines, contributing to the economy in both the US and the UK. In a 2024 report, the American Med Spa Association says the US medical spa industry is worth $17 billion and employs 100,000 people. As for the UK spa market, it’s valued at roughly 4 billion US dollars, and expected to grow 7% between 2024 and2032.

Importance of spa licenses in the US and UK service industry

While spa ownership can be lucrative, running such a business legally and ethically requires understanding spa license requirements.  

Licenses ensure that services are provided safely, maintaining high standards of care and compliance with local laws. As you embark on the journey of opening a spa or medical spa, knowing the legal frameworks and obtaining the necessary licenses will protect your business and build trust with your clientele.

Do you need a license to open a spa or a medical spa?

Determining whether you need a license to open a spa or a medical spa depends on the services you plan to offer. In both the US and the UK, regulations vary by state or region and by the types of services provided. For instance, basic services like massages and facials often require different permits compared to medical procedures like Botox or laser treatments. Knowing which services require specific licenses is paramount to avoid legal repercussions and ensure your business operates smoothly.

For useful information on managing your spa, refer to the spa management guide from Zenoti.

What license do you need to open a spa?

Opening a spa involves acquiring several licenses and permits. Generally, you'll need a business license, health permits, and specific licenses for services such as massage therapy or cosmetology. Here’s a breakdown of the essential legal requirements:

1. Business license: This is mandatory for all businesses and is obtained from your local government.

2. Health permits: These ensure your spa meets health and safety standards, including sanitation protocols.

3. Service-specific licenses: Depending on the services offered, you may need:

• Massage therapy license: Required for providing massage services. Therapists must complete accredited training programs.

• Cosmetology license: Necessary for offering beauty treatments like facials, manicures, and pedicures.

• Esthetician license: This covers services such as skincare treatments and makeup application.

To get a spa license, you often need to complete an application, pay a fee, and pass inspections. Each type of service may have its own licensing board and requirements, so be sure to do your research. For even more insights on starting a spa business, see the Zenoti guide on how to open a spa business.

For massage spa license requirements, see The American Massage Therapy Association: Massage Therapy Practice and License Requirements by State.

What license do you need to open a medical spa?

Medical spas offer advanced treatments that typically require medical oversight. Here’s what you need, broken out by role:

1. Medical director: A licensed medical professional (doctor or nurse practitioner) must oversee the medical treatments.

2. Medical spa license: This covers the provision of medical-grade treatments like Botox, fillers, and laser therapies.

3. Practitioner licenses: Each practitioner must have appropriate licenses for the treatments they provide. For example:

• Nurse practitioners and physician assistants: Must have licenses to perform injectable treatments.

• Laser technicians: Often require specific certification or licensure.

The requirements for a medical spa license are stringent, typically involving comprehensive applications, proof of qualifications, and adherence to health regulations.  

Zenoti helps medical spas with compliance through medspa software that is secure and HIPAA-compliant.

How to obtain a medical spa license in the USA

To obtain a medical spa license in the USA, follow these steps:

1. Hire a medical director: Secure a qualified medical professional to oversee the services.

2. Complete application: Submit an application to your state’s medical board, including details about your medical director and the services provided.

3. Undergo inspections and approvals: Your facility may need to pass health and safety inspections.

4. Acquire training and certification: Ensure all practitioners are properly trained and certified.

How to get a spa license in the USA

Obtaining a spa license calls for these steps:

1. Register your business: Obtain a general business license from your local government.

2. Get health permits: Ensure your spa meets sanitation and safety standards with the right permits.

3. Acquire service-specific licenses: These pertain to specific services like massage therapy and cosmetology.

4. Pass inspections: The necessary health and safety inspections validate your spa.

For efficient spa management, consider using  spa management software from Zenoti.

Spa services that don't require a license

Not all spa services require a professional license. Here are some examples:

1. Aromatherapy: Using essential oils for therapeutic purposes

2. Body scrubs and wraps: Non-invasive treatments that enhance skin health

3. Relaxation services: Guided meditation or relaxation exercises

These services can typically be offered without a professional license, but it's still important to ensure your business complies with general health and safety regulations.

Can I open a spa with an esthetician license?

Yes, you can open a spa with an esthetician license, but the services you can offer will be limited to those covered by your esthetician training. This includes:

1. Skincare treatments: Facials, exfoliations, and skin analyses

2. Hair removal: Waxing and other non-invasive techniques

3. Makeup application: Professional services for various occasions

With an esthetician license, you’ll be well-placed to open a spa as you can offer a range of beauty and skincare services.

Conclusion

Acquiring the necessary licenses for a spa or medical spa is not just a legal formality, it’s a cornerstone of operating a trustworthy and successful business. Ensuring compliance with spa license requirements protects your business and builds client confidence. As you navigate these requirements, consider leveraging tools like Zenoti software to streamline operations and stay compliant. Taking these steps will set your business on a path to success in the vibrant and competitive wellness industry.

Explore Zenoti software for beauty and wellness business management.

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