Colorado · Moderate

Do You Need a Medical Director for a Med Spa in Colorado?

Q: Does a medical spa in Colorado need a medical director?

Required for medical spa operations Lenient; non-physician ownership permitted via MSO or management structure This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Whether Colorado requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Colorado picture.

By Evan at Inside MedSpa

Medical director requirement

Required for medical spa operations

Corporate Practice of Medicine

Lenient; non-physician ownership permitted via MSO or management structure This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject with physician collaboration; some independent authority in limited contexts

How the exam ties in

Required; in-person or telehealth permitted under certain conditions

What to verify in Colorado

Confirm with the Colorado Medical Board whether your specific ownership structure and delegation model complies with current interpretations of physician collaboration requirements.

Primary source: Colorado Medical Board, Colorado Board of Nursing

General business information for Colorado medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Colorado board (and your own counsel) before you act.

See the full Colorado regulation profile →

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