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.
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.
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.
See how St. Louis's massage establishments rules stack up against other locations.
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