Tennessee med spa questions, answered from statute
Every question below is answered from Tennessee law, with the statute or board rule linked and the date we verified it. 23 of the 27 questions we ask have a verified Tennessee answer today, most recently checked Sep 8, 2026. The rest are not listed, because we would be guessing.
Organized by The Practice Perimeter — the decisions every state makes about an aesthetic practice.
Ownership
Who is allowed to own this business, and in what corporate form?
- Can a non-physician own a med spa in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.20(1)(b)
- What business structure does a med spa need in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.20(1)(b)
- Can a management company run the business side of a med spa in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.20(1)(a)
- Can private equity invest in a med spa in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.20(1)(b)2.(ii)
- In Tennessee, may a non-clinical owner or manager be paid a share of revenue?Tenn. Code Ann. § 63-6-214(b)(16)
Oversight
Which physician relationship does the state require, and what must that physician actually do?
- Does a med spa in Tennessee need a medical director?Tenn. Comp. R. & Regs. 0880-02-.24(1)(a)–(f)
- What must the supervising physician actually do in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.18(5)
- Who may operate a cosmetic laser in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.14(10)
- May an esthetician or laser technician perform microneedling in Tennessee?Tenn. Code Ann. § 62-4-102(a)(1)
Intake
What has to happen before a patient can be treated, and can any of it be remote?
- Is an exam required before a patient can be treated in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.16 (scope)
- Can the pre-treatment exam be done by telehealth in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.16 (scope)
- Must someone be on site while a patient is treated in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.16(1)(a)
- Can a med spa in Tennessee offer compounded semaglutide or tirzepatide?Tenn. Comp. R. & Regs. 1140-07-.02(1); 1140-07-.04(1)
Who treats
Which license may perform which treatment, and under whose order?
- Can a registered nurse inject Botox or filler in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.14(12), referring to 0880-02-.18(1) and 0880-06-.02(1)
- Can a nurse practitioner treat without a supervising physician in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.14(12), referring to 0880-02-.18(1) and 0880-06-.02(1)
- Can a physician assistant inject or prescribe in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.18(1) and (2)
Facility
Does the premises itself have to be registered or licensed?
- Does a med spa have to register or hold a license in Tennessee?Tenn. Comp. R. & Regs. 1140-07-.02(1); 1140-07-.04(1)
- Who must be the responsible practitioner for a med spa in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.24(3) and (4)
- What does it cost to open a med spa in Tennessee?Tenn. Comp. R. & Regs. 0880-02-.24(1)
Marketing
What may this practice claim about its services, its staff, and their credentials?
Enforcement
What happens when one of the six above is crossed?
- What happens if a med spa in Tennessee operates without the right license?Tenn. Comp. R. & Regs. 0880-02-.12(4) (Civil penalties — schedule and amounts)
- Can Tennessee shut down a med spa that is operating unlawfully?Tenn. Comp. R. & Regs. 0880-02-.12 (Licensure discipline and civil penalties — revocation)
- What can a practitioner in Tennessee be disciplined for?Tenn. Comp. R. & Regs. 0880-02-.24(5)
What is not here, and why
We ask 27 questions of every state we cover. Tennessee answers 23 of them from primary sources we have verified. Where a question is missing it is because the Tennessee record we hold does not address it — not because the answer is no. We would rather publish a shorter list than a page that looks like an answer and is not. As the Tennessee record grows, questions appear here on their own.
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← Tennessee overview · Regulatory monitoring and reference, not legal, medical, or compliance advice. Legislative data via LegiScan (CC BY 4.0).