✨ Aesthetic / Medical Spa · Tennessee

Tennessee: what a medical director of a aesthetic / medical spa must do

Whether Tennessee requires a physician medical director for a aesthetic / medical spa, the qualifications you need, and the duties the rule assigns.

Medical directorMedical director required
Title in the ruleMedical Director (or Supervising Physician)
Research date2026-09-03

Qualifications

Physician (MD/DO) holding an active license under Title 63, Ch. 6 or 9, with an active Tennessee medical practice, who accepts responsibility for/supervises the spa's cosmetic medical services.

Duties the rule assigns

  • sign an attestation accepting responsibility for the medical spa's cosmetic medical services
  • register with the Board of Medical Examiners (or Board of Osteopathic Examination) — name, license number, and credential type — for the state's online medical spa registry
  • be named on required in-facility signage disclosing board-certification status

Notes

TN uses the term 'medical director' expressly in statute and requires a public registry listing, unlike most states in this dataset. Defined by reference to 'cosmetic medical services' (tissue-altering aesthetic procedures) — pure wellness/IV-hydration services without a cosmetic component were not confirmed to fall within this definition.

Sources (3)

Delegated services in this practice type

Business ownership and clinical authority are separate questions in this practice type. What the state says about the staff who deliver the services.

Registered Nurses

General RN licensure (TCA Title 63, Chapter 7) is not subject to physician supervision or a collaborative agreement — RNs work within physician/APRN orders, standing orders, and facility protocols, categorically distinct from TN's APRN Certificate of Fitness/Collaborative Management Agreement regime above.

Estheticians

Licensed estheticians (TN Board of Cosmetology and Barber Examiners, TCA Title 62, Chapter 4) practice independently within a skin-care/beautifying scope. No physician involvement is required for this core scope. This research pass could not confirm the exact statutory laser/device boundary or whether any physician-delegation pathway exists — treat as an open item.

Every agreement Tennessee names · Aesthetic / Medical Spa in other states