North Carolina preempts most local massage licensing through the Massage and Bodywork Therapy Practice Act (NCGS Chapter 90 Article 36), requiring state board licensure while Raleigh handles zoning and privilege license enforcement.
Under NCGS §90-622, massage and bodywork therapists must hold licenses from the NC Board of Massage and Bodywork Therapy. Raleigh cannot impose competing professional licensing but regulates establishment zoning under the Unified Development Ordinance and collects local privilege taxes. Establishments must display state credentials, maintain client records, and operate during hours allowed by zoning district. Police and the state board investigate complaints jointly; unlicensed practice is a Class 1 misdemeanor under NCGS §90-634.1.
Practicing massage without an NC Board license, employing unlicensed therapists, or operating outside permitted zoning districts triggers state criminal charges plus city zoning enforcement, fines, and possible business license revocation.
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