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Missouri Summary of State Laws & Regulations
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Who can own a medical spa?

Unlike many other states, Missouri does not have a corporate practice of medicine doctrine requiring

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Can a nurse, esthetician, Physician Assistant (PA) or Nurse Practitioner (NP) own a med spa by employing a medical director?

In Missouri, a PA, NP or esthetician

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Can a nurse, esthetician, PA or NP take a commission for administering laser treatments or injectables like Botox?


Does a physician have to examine every new patient before the patient is treated?

If the medical treatment is within the scope of practice of

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What about Physician Assistants and Nurse Practitioners – can they see new patients or must it always be a physician?

If the collaborative practice agreement, standing orders and protocols or

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Can physicians delegate medical tasks and duties to non-physicians?

Under Missouri law, a physician

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Does a physician have to be present at the med spa at all times?

Nurses and estheticians performing within the scope of their licensed practice do

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Who can perform laser treatments?

The Missouri Board of Healing Arts considers laser procedures to be surgery. Therefore, laser procedures may be performed by

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Can Estheticians Perform Laser Treatments?

Yes, but only if

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Botox and other Injectable Fillers: Who can inject?

Nurses may inject pursuant to

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Can a dentist own a medical spa?

A dentist may

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Can a dentist serve as a medical director at a medical spa?

The Board of Healing Arts strongly recommends that each medical spa employs a medical director. However,

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Can dentists inject Botox?

A dentist’s license gives the authority to practice dentistry; however, the Missouri Dental Practice Act does

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Can dentists perform laser treatments?

The Missouri Dental Practice expressly allows for the use of lasers in

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Other relevant information:

In Missouri, PAs must work in the same facility as his/her supervising physician

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The information and answers contained in these frequently asked questions provide a general guide to certain laws that apply to "medical spas” in this particular state. The information contained on this site is for general reference only. This information is not intended to provide legal advice, and it should not be relied upon as legal advice. This information is not intended to create, and receipt of it does not constitute, an attorney-client relationship. Readers: You should not act upon this information without seeking knowledgeable legal counsel that takes the laws of your jurisdiction into account. All uses of the content of this site, other than personal uses, are prohibited.

Summary updated June 2014

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