Registered nurses (RNs)
No; RNs cannot inject neurotoxins or fillers in Pennsylvania
Nurse practitioners & physician assistants
NP/PA cannot inject injectables; physician-only practice for neurotoxins/fillers
Supervision & the medical director
Required; physician must be on-site or immediately available
The exam requirement
Required; in-person examination mandatory before treatment
What to verify in Pennsylvania
Ensure the medical spa is owned and operated by a licensed MD or DO; non-physician ownership is not permitted under Pennsylvania law.
Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing
General business information for Pennsylvania medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Pennsylvania board (and your own counsel) before you act.