How to open a med spa in Massachusetts

8 licenses, permits and registrations, in the order to get them, each with the agency, the fee and the official page.

8 licenses, permits and registrations, in the order to get them

Every row checked against its agency’s page; the latest on Oct 21, 2026.

Step 1 of 5Set up the business. Now: Certificate of organization (LLC) and the annual report

0 of 8 items done. Each step opens when the one before it is complete. Progress stays on this device. Members keep a dated, noted plan for each saved location in the workspace.

  1. Set up the business0 of 3

    • File online through the Corporations Division. The certificate names a resident agent with a Massachusetts street address and at least one manager or authorized person. Massachusetts is one of the most expensive states to form and keep an LLC in; a missed annual report leads to administrative dissolution and a $100 reinstatement fee on top of the reports owed.

      Fee
      Members
      Renewal
      Members
      Official page
      Members

      Checked Oct 21, 2026

  2. Register for taxOpens after step 1

  3. Approve the spaceOpens after step 2

  4. Get the permits for your kind of businessOpens after step 3

  5. Before the first hireOpens after step 4

How they fare in Massachusetts

Closed in 2023, health care and social assistance
6.1%
Opened in 2023
9.2%

Is a med spa profitable in Massachusetts?

Then pick the place

  • The free location checkWho lives and works around an address, the med spas already there and the traffic on its road, from public records.
  • The full reportWhether the rules allow a med spa at that address, the rent it supports, what has opened and closed nearby, and the questions to settle before signing.

Have an address in mind?

Check the address free

No account. The med spa check reads public records at the address itself.

Sources and dates

Corporations Division LLC pages and filing fee schedule; 950 CMR 112.00; M.G.L. c. 156C; M.G.L. c. 110, section 5; town clerk business certificate pages (Milford, Middleton and Norfolk $50, Boylston and Southborough $40, Rochester $20); IRS EIN page; Department of Revenue MassTaxConnect registration pages; M.G.L. c. 64H and c. 64L; Massachusetts General Laws c. 140 (local licenses); city licensing pages (Cambridge License Commission, Boston Licensing Board); Board of Building Regulations and Standards (780 CMR); M.G.L. c. 40A (zoning); municipal zoning bylaws and ordinances; 243 CMR 2.00 (delegation by physicians); Board of Registration in Nursing advisory ruling on cosmetic injections; Board of Registration of Cosmetology and Barbering policy on practices outside the scope of licensure (amended 2025); Department of Unemployment Assistance employer contribution pages (2026 rates, $15,000 wage base); Department of Family and Medical Leave contribution pages (M.G.L. c. 175M); Department of Industrial Accidents workers’ compensation requirements; 830 CMR 62E.2.1 (new hires); U.S. Census Bureau Business Dynamics Statistics. Fees are as published by each agency on the date checked; cities add their own.

Questions about opening here.