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St. Louis, MO Business Licensing & Operations: Massage Establishments (2026)

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

Key Facts

State licensing law
MO §324.240
City authority
License Collector
Health inspection
Department of Health
Renewal
Annual roster update

Summary

Massage establishments in St. Louis must hold a city business license, employ only Missouri-licensed therapists, comply with health inspections, and meet zoning rules under Title XI.

324.240. Definitions. — As used in sections 324.240 to 324.275, the following terms shall mean: (1) "Board", the board of therapeutic massage; (2) "Certified mentor", a practitioner who is qualified for license in this state pursuant to sections 324.240 to 324.275 and who has practiced professionally for five years, with an average of four hundred fifty hours per year of teaching and massage hours and who has been approved by the board as a massage therapy instructor; [...] (5) "Massage business", any place of business in which massage therapy is practiced; (6) "Massage therapist", a health care practitioner who provides or offers to provide massage therapy, as provided in sections 324.240 to 324.275, to any person at no cost or for a fee, monetary or otherwise, implying that the massage therapist is trained, experienced and licensed in massage therapy, and who holds a current, valid license to practice massage therapy; (7) "Massage therapy", a health care profession which involves the treatment of the body's tonus system through the scientific or skillful touching, rubbing, pressing or other movements of the soft tissues of the body with the hands, forearms, elbows, or feet, or with the aid of mechanical apparatus, for relaxation, therapeutic, remedial or health maintenance purposes to enhance the mental and physical well-being of the client, but does not include the prescription of medication, spinal or joint manipulation, the diagnosis of illness or disease, or any service or procedure for which a license to practice medicine, chiropractic, physical therapy, or podiatry is required by law, or to those occupations defined in chapter 329.

Source: Missouri Revised Statutes §324.240View official code

Full Breakdown

Massage businesses in St. Louis hold a city business license through the License Collector and operate only with therapists licensed by the Missouri Board of Therapeutic Massage under MO §324.240. The Department of Health inspects rooms, linens, and sanitation; the Building Division verifies that the use is permitted in the underlying zoning district or Form-Based Code zone. Inspectors and SLMPD investigate complaints alleging unlicensed practice or human-trafficking indicators, and the Excise Commissioner can suspend licenses while investigations proceed. Annual renewal requires updated therapist rosters.

Violations & Fines

Employing an unlicensed therapist, operating without a city license, or failing a health inspection can trigger fines, license suspension, and referral to the state board for therapist discipline.

Frequently Asked Questions

How do I check a therapist's license?
Search the Missouri Division of Professional Registration online; every therapist must hold an active Board of Therapeutic Massage license under MO §324.240.
Who responds to suspicious massage parlors?
Complaints go to SLMPD, the License Collector, and the Department of Health; the city can suspend the business license while the state investigates therapist licenses.

Sources & Official References

Other rules in St. Louis

All St. Louis rules

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