Opening a massage business requires adhering to federal and state regulations, including obtaining licenses and permits. In the US, each state has its own requirements for massage therapists, including education, training, and experience prerequisites. Local ordinances also apply, such as zoning laws and health department permits. A licensed massage therapist (LMT) license is typically required as a prerequisite to establishing a massage business. Business licenses from local authorities are also essential. Requirements include registration with the state's health department, background checks, proof of liability insurance, and annual permit renewals.