Ownership rules
Open — non-physicians may own; physician medical director optional if NP/PA operates independently
Corporate Practice of Medicine
Lenient — no strict CPOM enforcement; non-physician ownership permitted
The medical-director angle
Not required if NP/PA or MD/DO operates independently; required if RNs inject Ownership and the medical-director requirement are usually two sides of the same compliance coin.
What to verify in Montana
Clarify whether your NP/PA will practice independently or under physician collaboration, and document scope of practice and delegation clearly.
Primary source: Montana Board of Nursing and Montana Medical Board
General business information for Montana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Montana board (and your own counsel) before you act.