Medical director requirement
Medical director/supervising physician required for medical spa operations
Corporate Practice of Medicine
Lenient; non-physician ownership permitted via MSO/management structure with physician oversight This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.
Who can supervise or delegate
NP/PA may inject under physician supervision and collaboration
How the exam ties in
Good-faith exam required; in-person or telehealth allowed under physician discretion
What to verify in Iowa
Establish a written physician supervision agreement and verify compliance with Iowa Medical Board telemedicine guidelines for good-faith exams.
Primary source: Iowa Medical Board, Iowa Board of Nursing
General business information for Iowa medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Iowa board (and your own counsel) before you act.