Pennsylvania · Strict

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

Whether Pennsylvania 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 Pennsylvania picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician must oversee all aesthetic procedures and injections

Corporate Practice of Medicine

Strict; physician-owned or MSO with strong physician control required 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 under physician collaboration/supervision; independent practice not permitted

How the exam ties in

Required; in-person exam mandatory before treatment

What to verify in Pennsylvania

Consult Pennsylvania Medical Board counsel on RN injection authority before hiring; ensure physician ownership or controlling interest in the medical spa entity.

Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing

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

See the full Pennsylvania regulation profile →

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