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Durham County, NC Business Licensing & Operations: Massage Establishments (2026)

Significant Restrictions
Compiled from the official code textEditor Martyn O'NeillLast verified September 2026

Key Facts

Establishment license fee
$100.00 application, $25.00 annual renewal
Therapist license fee
$50.00 application, $15.00 annual renewal
Reviewing agencies
Sheriff, inspections division, fire marshal
Approval body
Board of county commissioners
Revocation grounds
Sexual-misconduct conviction, unlicensed employee, code violation

Summary

Operating a massage therapy establishment in unincorporated Durham County requires a privilege license from the county under Sec. 8-66, on top of individual massage-therapist licensing under Sec. 8-65. The Sheriff, inspections division and fire marshal must all report on an application before the board of commissioners can approve it.

City-specific rules exist: Durham has its own massage establishments rules that differ from Durham County's county-level regulations. If you live in Durham, check the city-specific page instead.

(d)An application in proper form, accompanied by all reports required by this section and by the application fee as required herein, shall be submitted to the board of commissioners which shall approve the application if the board determines that:(1)The application contains no misstatement of fact.(2)The applicant, and any person having legal or beneficial ownership interest in the proposed establishment is over the age of 18 years and has not been convicted of any crime involving sexual misconduct, as set forth herein.(3)The proposed establishment conforms to all requirements of applicable zoning, building and fire prevention codes.(4)The applicant or any person having a legal or beneficial ownership interest in the proposed establishment has not, for the three-year period preceding the application, had a previously issued license for engaging in the business or profession of massage or a license to operate a massage business revoked.

Full Breakdown

Chapter 8, Article III licenses both massage therapists and the businesses that employ them. Section 8-65 requires any individual practicing massage therapy for compensation to first obtain a privilege license, which requires AMTA-approved training or membership, a sworn application listing prior occupations and any sexual-misconduct or felony convictions, and an application fee under Sec. 00 for a therapist. Section 8-66 separately requires the establishment itself to hold a privilege license: the sworn application must disclose every owner's convictions and any prior license revocations, and the tax collector routes the application to the Sheriff for a background investigation, to the county inspections division to confirm zoning and building compliance, and to the county fire marshal to confirm fire-code compliance, each within 30 days.

The board of commissioners then approves the establishment license only if the application contains no misstatement, every owner is over 18 with no sexual-misconduct conviction, the premises conforms to zoning, building and fire codes, and no owner has had a massage license revoked in the prior three years. 00. Licensed establishments and therapists must post their license on the premises or in their work area at all times, and the article exempts physicians, chiropractors, physical therapists, athletic trainers and licensed cosmetologists performing beautification-only treatments.

Violations & Fines

Violating any provision of Article III is a misdemeanor punishable under the county's general penalty, Sec. 1-6, per Sec. 8-64. Separately, either license can be revoked for cause under Sec. 8-68: grounds include a sexual-misconduct conviction, fraudulent or deceptive advertising, employing an unlicensed therapist, or violating any zoning, building or fire-prevention ordinance, following ten days' written notice and a hearing before the board of commissioners.

Frequently Asked Questions

Do I need a separate license for my massage business and for myself as a therapist?
Yes. Section 8-65 licenses the individual massage therapist, while Sec. 8-66 separately licenses the establishment itself. A sole practitioner working alone still needs the therapist license, and under Sec. 8-70(c) pays only the establishment application fee if operating as a sole practitioner.
Who investigates a new massage establishment application in Durham County?
The tax collector sends the sworn application to the Sheriff for a background investigation, to the county inspections division to confirm zoning and building compliance, and to the county fire marshal to confirm fire-code compliance. Each must report back within 30 days before the board of commissioners votes on approval.
Can a massage license be taken away after it's issued?
Yes, under Sec. 8-68, after ten days' written notice and a hearing before the board of commissioners. Grounds include a sexual-misconduct conviction, fraudulent or deceptive advertising, letting an unlicensed person perform massage on the premises, or violating any zoning, building or fire-prevention ordinance.
Are chiropractors or physical therapists required to get this license to give massage?
No. Section 8-63 exempts physicians, chiropractors, osteopaths, physical therapists, podiatrists, licensed nurses, athletic trainers affiliated with a school or pro team, and cosmetologists performing customary beautification treatments from the article's licensing requirements, since their practice is treated as distinct from massage therapy under this chapter.

Sources & Official References

Other rules in Durham County

All Durham County rules

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