Massage Therapy Permits & Licenses in Baltimore, MD

Complete guide to permits and licenses required to start a massage therapy in Baltimore, MD. Fees, renewal cycles, and agency contacts.

Maryland Sales and Use Tax Permit

Maryland Comptroller of the Treasury
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Massage therapy services are generally not subject to Maryland sales tax unless combined with retail sales of tangible personal property. If only providing massage services, no sales tax registration is required. However, if selling retail items, registration is mandatory. Registration is done via the Maryland Business Application for Registration (MART).

Maryland Withholding Tax Registration

Maryland Comptroller of the Treasury
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Required for all employers in Maryland who pay wages to employees. Employers must withhold state income tax from employee wages. Registration is completed through the MART system. Employers must file Form MWBE-1 to register.

Maryland Unemployment Insurance Tax Registration

Maryland Department of Labor - Division of Unemployment Insurance
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

All employers with one or more employees must register and pay unemployment insurance taxes. The tax rate varies based on experience rating. New employers are assigned a standard rate (as of 2024: 2.5%). Registration is done through the Maryland Business Identification Number (BIN) system.

Maryland Annual Franchise Tax

Maryland State Department of Assessments and Taxation (SDAT)
Required
Fee: $300.00-$300.00
Renewal: one time
Type: permit

All LLCs in Maryland are subject to the annual franchise tax regardless of income or activity. The tax is due each year and must be filed even if no tax is owed. Form SDAT FR-508 is used. The minimum tax is $300. This is not a gross receipts tax; it is a privilege tax on doing business as an LLC.

Articles of Organization (LLC Formation)

Maryland Department of Assessments and Taxation
Required
Fee: $100.00-$100.00
Renewal: one time
Type: registration

Required for all LLCs; file online via Maryland Business Express

Maryland LLC Annual Report (Personal Property Return)

Maryland Department of Assessments and Taxation (SDAT)
Required
Fee: $300.00-$300.00
Renewal: annual
Type: registration

All LLCs must file annually even if no personal property; online via Maryland Business Express

Maryland State Income Tax Registration (for pass-through entities)

Maryland Comptroller of the Treasury
Required
Fee: $0.00-$0.00
Renewal: one time
Type: registration

LLCs are pass-through entities, so the business itself does not pay income tax. However, owners must report income on personal returns. If the LLC elects corporate taxation, it must file Form 20S/1120C. Most massage therapy LLCs remain pass-through and file Form 500/505. No separate registration beyond initial business tax registration via MART.

Local Business License or Privilege Tax (e.g., Montgomery County)

Montgomery County Department of Finance
May Apply
Fee: $50.00-$500.00
Renewal: one time
Type: registration

Most counties and municipalities in Maryland require a local business license or privilege tax. Fees vary by location and gross receipts. For example, Baltimore City charges a 'Admissions and Amusements' tax on massage services at 10% if classified as such. Check with local clerk or finance office. Registration typically through local government website.

Industry-Specific Excise or Tourism Tax

Maryland Comptroller of the Treasury
May Apply
Renewal: one time
Type: permit

Massage businesses located in designated tourism areas may be subject to local tourism taxes. For example, Baltimore City imposes a 3% tourism tax on certain personal service businesses. No statewide excise tax applies to massage therapy. Verify with local tax authority.

Baltimore City Trader's License (Massage Parlor)

Baltimore City Department of Finance
Required
Fee: $150.00-$150.00
Renewal: annual
Type: license

Required for all massage establishments in Baltimore City; separate from state massage license. Specific to personal service businesses like massage therapy.

Baltimore City Zoning Permit/Use Registration Permit

Baltimore City Department of Planning
Required
Fee: $50.00-$200.00
Renewal: one time
Type: permit

Massage therapy is permitted in C-1/C-2 commercial zones; home occupation restricted (max 25% floor area). Verify zoning via DHCD Zoning Map.

Baltimore City Health Department Plan Review and Operating Permit

Baltimore City Health Department
May Apply
Fee: $250.00-$500.00
Renewal: one time
Type: permit

Required for hygiene compliance in massage parlors (handwashing sinks, disinfectants). Specific to health service businesses.

Baltimore City Fire Department Operating Permit

Baltimore City Fire Department
Required
Fee: $100.00-$300.00
Renewal: annual
Type: permit

For assembly/occupancy >50 persons or hazardous operations; massage studios typically need basic life safety inspection.

Baltimore City Certificate of Occupancy

Baltimore City Department of Housing and Community Development
May Apply
Fee: $150.00-$400.00
Renewal: one time
Type: permit

Required if converting space to massage therapy use.

Montgomery County Business License

Montgomery County Department of Finance
Required
Fee: $100.00-$100.00
Renewal: one time
Type: license

General business license required; no specific massage category but must list NAICS 611511 or 812199.

Montgomery County Zoning Approval/Home Occupation Permit

Montgomery County Department of Permitting Services
May Apply
Fee: $104.00-$104.00
Renewal: one time
Type: permit

Massage therapy allowed as home occupation with limits (1 employee, no external signage). Commercial zones vary by district.

Montgomery County Health Department Facility Plan Review

Montgomery County Department of Health and Human Services
May Apply
Fee: $200.00-$400.00
Renewal: one time
Type: permit

Specific sanitation standards for massage (disinfection logs, ventilation).

Montgomery County Fire Safety Inspection/Certificate

Montgomery County Fire & Rescue Service
Required
Fee: $50.00-$150.00
Renewal: annual
Type: permit

Required for all commercial occupancies; massage therapy classified as Business (B) occupancy.

Prince George's County Business License

Prince George's County Revenue Authority
Required
Fee: $100.00-$100.00
Renewal: annual
Type: license

Massage therapy falls under "health services" category.

Prince George's County Zoning Compliance Certificate

Prince George's County Planning Department
Required
Fee: $150.00-$150.00
Renewal: one time
Type: permit

Massage parlors permitted in C-O, C-H, I-1 zones; conditional use in some residential.

Prince George's County Health Department Operating Permit

Prince George's County Health Department
Required
Fee: $250.00-$250.00
Renewal: annual
Type: permit

Specific "Personal Service Establishment" permit for massage therapy with hygiene inspections.

Anne Arundel County Massage Establishment License

Anne Arundel County Department of Health
Required
Fee: $200.00-$200.00
Renewal: annual
Type: license

In addition to state license; requires facility inspection.

Sign Permit (General - varies by jurisdiction)

Varies by city/county planning departments
May Apply
Fee: $50.00-$500.00
Renewal: one time
Type: permit

Required in all MD counties/cities; limits on size, lighting, placement per zoning code.

Massage Therapy License

Maryland Board of Massage Therapy Examiners
Required
Fee: $200.00-$200.00
Renewal: biennial
Type: license

Requires 750 hours education from approved program, passing MBLEx exam (minimum 70%), and 20 hours continuing education for renewal. All massage therapists must be licensed.

Massage Therapy Establishment Registration

Maryland Board of Massage Therapy Examiners
Required
Fee: $300.00-$300.00
Renewal: biennial
Type: registration

Required for any location where massage therapy is practiced for compensation. Must have at least one licensed therapist on staff. Inspections may be conducted.

Trade Name Registration (DBA)

Maryland Department of Assessments and Taxation
May Apply
Fee: $30.00-$30.00
Renewal: one time
Type: registration

Required if using an assumed or trade name; register via Maryland Business Express. Not needed if using exact LLC name.

Sales and Use Tax License

Maryland Comptroller of the Treasury
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Massage services are generally not taxable, but registration required if selling retail products. Apply online via Maryland Business Express.

Surety Bond (License Bond)

Maryland Board of Cosmetology
Required
Renewal: one time
Type: certificate

A $10,000 surety bond is required for the Massage Establishment License issued by DLLR. This is a license bond to ensure compliance with state regulations. The bond must be issued by a surety company licensed in Maryland. Applies to the business entity (LLC), not individual therapists.

Commercial Auto Insurance

Maryland Motor Vehicle Administration (MVA)
May Apply
Fee: $1200.00-$3000.00
Renewal: one time
Type: certificate

Required if the LLC owns or operates a vehicle for business purposes (e.g., mobile massage services). Minimum liability coverage: $30,000 bodily injury per person, $60,000 per accident, $15,000 property damage. Personal auto policies do not cover business use.

Product Liability Insurance

U.S. Consumer Product Safety Commission (CPSC)
May Apply
Fee: $500.00-$2500.00
Renewal: one time
Type: certificate

Not legally required by Maryland law, but highly recommended if the business sells physical goods. General liability policies often include limited product liability; additional coverage may be needed for higher-risk items. Regulated indirectly under consumer protection laws enforced by MDH and Attorney General.

Liquor Liability Insurance

Maryland Comptroller of the Treasury
May Apply
Renewal: one time
Type: certificate

Not applicable to standard massage therapy businesses. Only required if the LLC holds a liquor license and serves alcohol (e.g., in a spa with bar service). Most massage therapy LLCs do not fall under this category. No Maryland law mandates liquor liability insurance per se, but commercial host liquor liability is strongly advised and often required by insurers or venues.

Obtain an Employer Identification Number (EIN)

Internal Revenue Service (IRS)
Required
Renewal: one time
Type: registration

Required for all LLCs, including single-member LLCs that elect to be taxed as corporations or have employees. Even if not legally required, it is recommended for banking and liability separation.

Federal Income Tax Obligations for LLC

Internal Revenue Service (IRS)
Required
Renewal: one time
Type: filing

By default, a single-member LLC is disregarded for federal tax purposes and reports income on Schedule C of Form 1040. Multi-member LLCs are treated as partnerships and must file Form 1065. An LLC may elect corporate taxation (Form 1120). All must comply with IRS reporting.

Federal Self-Employment Tax

Internal Revenue Service (IRS)
May Apply
Fee: $168600.00-$168600.00
Renewal: one time
Type: filing

Owners of a single-member or multi-member LLC taxed as a partnership are subject to self-employment tax on their share of profits.

OSHA General Duty Clause Compliance

Occupational Safety and Health Administration (OSHA)
May Apply
Renewal: one time
Type: permit

Applies only if the business has employees. Massage therapy businesses must provide a workplace free from recognized hazards (e.g., ergonomic risks from repetitive motion, bloodborne pathogens if cuts occur). OSHA does not cover self-employed individuals with no employees.

OSHA Bloodborne Pathogens Standard

Occupational Safety and Health Administration (OSHA)
May Apply
Fee: $50.00-$500.00
Renewal: one time
Type: permit

While most massage therapists do not use needles, if waxing, microdermabrasion, or other services that break the skin are offered, this standard applies. Requires exposure control plan, training, PPE, and hepatitis B vaccination offer.

ADA Title III Compliance for Public Accommodations

U.S. Department of Justice (DOJ)
Required
Renewal: one time
Type: permit

All massage therapy businesses open to the public must comply with ADA Title III, including physical access (ramps, door widths), accessible treatment rooms, and policies allowing service animals. Applies regardless of number of employees or business size.

FTC Rules on Advertising and Consumer Protection

Federal Trade Commission (FTC)
Required
Renewal: one time
Type: permit

Applies to all advertising (website, social media, brochures). Claims about massage benefits must be truthful, not misleading, and substantiated. Prohibited from making unsubstantiated health claims (e.g., "cures back pain"). FTC enforces against deceptive or false advertising.

Building Permit for Modifications

Local Department of Permits (e.g., Baltimore City Permits)
May Apply
Fee: $200.00-$200.00
Renewal: one time
Type: permit

Required for sinks, partitions, HVAC changes in massage spaces.

Workers' Compensation Insurance

Maryland Workers' Compensation Commission
May Apply
Fee: $1.50-$3.50
Renewal: one time
Type: certificate

Required for all employers with one or more employees, including part-time. Sole proprietors without employees are exempt. Massage therapists employed by the LLC must be covered. Coverage must be obtained through private insurer or the State Fund.

General Liability Insurance

Maryland Department of Labor, Licensing, and Regulation (DLLR)
May Apply
Fee: $500.00-$1500.00
Renewal: one time
Type: certificate

Not mandated by Maryland state law for massage therapy businesses specifically, but strongly recommended and often required by counties or cities (e.g., Montgomery County) and commercial landlords. May be necessary for professional credibility and risk management.

Professional Liability / Errors and Omissions Insurance

Maryland Insurance Administration
Required
Fee: $1000.00-$3000.00
Renewal: one time
Type: certificate

Maryland does not legally mandate professional liability insurance for licensed massage therapists or LLCs. However, many malpractice claims arise from soft tissue therapy, and insurers such as NSO or Proliability offer policies tailored to massage therapists. Strongly recommended for risk mitigation.

Sales and Use Tax Return Filing

Maryland Comptroller of the Treasury
May Apply
Renewal: annual
Type: filing

Massage therapy services are generally exempt from Maryland sales tax under Tax-General Article § 11-202(b)(19), but if taxable items (e.g., lotions, candles) are sold, sales tax applies. Filing frequency assigned upon registration with the Comptroller.

Employer Withholding Tax Filing and Payment

Maryland Comptroller of the Treasury
May Apply
Renewal: varies
Type: filing

Employers must withhold state income tax from employee wages and file Form MW508 (monthly) or MW509 (quarterly). New employers typically start with monthly filing.

Federal Employer Identification Number (EIN) Reporting

Internal Revenue Service (IRS)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: filing

LLCs with employees or elected corporate taxation must file federal employment tax returns. Form 941 (quarterly), Form 940 (annually), and W-2/W-3 (annually). Sole proprietors without employees may not need ongoing EIN reporting.

Workers' Compensation Insurance Coverage

Maryland Workers' Compensation Commission
May Apply
Fee: $1.00-$3.00
Renewal: one time
Type: certificate

Mandatory for all employers with employees in Maryland. Must be renewed annually. Proof of coverage must be filed with WCC if required (e.g., after notice).

Display of Massage Therapist License

Maryland Board of Massage Therapy Examiners
Required
Renewal: one time
Type: permit

Each licensed massage therapist must display their current license in a visible location at the place of practice. Applies to all individual practitioners.

Display of Business License or Certificate of Registration

Local Jurisdiction (e.g., County Health or Licensing Department)
May Apply
Renewal: one time
Type: permit

Many counties and municipalities in Maryland (e.g., Prince George’s County, Montgomery County) require businesses to obtain and display a local business license or tax certificate. Requirements and fees vary by location.

OSHA Injury and Illness Recordkeeping

Occupational Safety and Health Administration (OSHA)
May Apply
Renewal: annual
Type: permit

Businesses with 11 or more employees must maintain OSHA Form 300 (Log of Work-Related Injuries), Form 301 (Incident Report), and post Form 300A annually. Exempt industries include most offices, but massage therapy may not qualify for exemption due to physical risk.

Federal W-2 and 1099 Filing

Internal Revenue Service (IRS)
May Apply
Renewal: annual
Type: filing

Employers must issue W-2 to employees by January 31. Businesses must issue 1099-NEC to independent contractors paid $600 or more for services. E-filing required for 10 or more forms.

Unemployment Insurance Tax Filing

Maryland Department of Labor, Division of Unemployment Insurance
May Apply
Renewal: varies
Type: filing

Employers must file quarterly unemployment insurance tax returns and pay tax on first $8,500 of each employee’s wages. Rate varies from 0.06% to 12.9% based on experience.

Business Records Retention

Internal Revenue Service (IRS)
Required
Renewal: one time
Type: permit

IRS recommends keeping business tax records for at least 3 years. Employment tax records must be kept for at least 4 years. Professional liability records should be retained for 7+ years. Maryland Board of Massage Therapy requires CE records for 4 years.

Labor Law Posters

Maryland Department of Labor
May Apply
Renewal: one time
Type: permit

Employers must display current posters on minimum wage, workers’ compensation, unemployment insurance, and employee rights. Federal OSHA and EEO posters also required. Posters must be visible to employees.

Health Department Inspection (if applicable)

Local Health Department (e.g., Montgomery County Department of Health and Human Services)
May Apply
Renewal: one time
Type: permit

Most massage therapy businesses are not subject to routine health inspections unless they operate a spa, use on-site wastewater systems, or are co-located with regulated facilities. Local health departments may inspect based on complaints.

Fire Inspection

Local Fire Marshal (e.g., Prince George’s County Fire/Rescue)
May Apply
Renewal: one time
Type: permit

Required for commercial occupancies. Frequency and requirements vary by municipality. Includes inspection of exits, fire extinguishers, smoke detectors, and flammable materials storage.

Form I-9 Verification for Employees

U.S. Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE)
May Apply
Renewal: one time
Type: permit

All employers, including LLCs, must complete Form I-9 to verify identity and work authorization for every employee. Must retain for 3 years after hire or 1 year after employment ends, whichever is later.

Fair Labor Standards Act (FLSA) compliance

U.S. Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

Requires payment of federal minimum wage ($7.25/hour) and overtime (1.5x regular rate for hours over 40/week). Massage therapists are typically non-exempt employees. Independent contractor misclassification is a common risk; IRS and DOL scrutinize this in wellness industries.

Family and Medical Leave Act (FMLA) Compliance

U.S. Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

Requires eligible employees (12 months, 1,250 hours) to be granted up to 12 weeks of unpaid, job-protected leave for qualifying medical or family reasons. Does not apply to most small massage therapy LLCs unless part of a larger group.

Federal Consumer Protection from Unfair or Deceptive Practices

Federal Trade Commission (FTC)
Required
Renewal: one time
Type: permit

Under Section 5 of the FTC Act, businesses cannot engage in unfair or deceptive acts. For massage therapy, this includes false claims about weight loss, detoxification, or disease treatment unless scientifically supported. Applies to all marketing and service descriptions.

No FDA License Required for Massage Therapy Services

U.S. Food and Drug Administration (FDA)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

FDA does not regulate massage therapy as a medical treatment unless it makes disease claims or uses regulated devices (e.g., ultrasound, TENS units). Using such devices may require FDA clearance and compliance.

EPA Regulations for Hazardous Waste (if applicable)

Environmental Protection Agency (EPA)
May Apply
Fee: $100.00-$1000.00
Renewal: one time
Type: permit

Most massage therapy businesses do not generate hazardous waste. However, if using EPA-listed hazardous chemicals (e.g., certain disinfectants with toxic ingredients), compliance with storage, labeling, and disposal rules may be required.

FCC Regulations on Telemarketing and Text Messaging

Federal Communications Commission (FCC)
May Apply
Renewal: one time
Type: permit

If sending marketing texts or automated calls, must comply with TCPA and Telemarketing Sales Rule: obtain prior written consent, provide opt-out mechanism, and honor Do-Not-Call lists.

Maryland State Business Registration & Annual Report

Maryland Department of Assessments and Taxation (SDAT)
Required
Fee: $300.00-$300.00
Renewal: one time
Type: registration

All Maryland LLCs must file an annual report and pay a $300 fee to remain in good standing. Failure results in loss of legal protection and ability to operate.

Annual Report Filing for LLC

Maryland State Department of Assessments and Taxation (SDAT)
Required
Fee: $300.00-$300.00
Renewal: annual
Type: permit

All Maryland LLCs must file an annual report with the Department of Assessments and Taxation. The report includes business name, principal address, names and addresses of managers or members, and registered agent information.

Maryland Massage Therapist License Renewal

Maryland Board of Massage Therapy Examiners
Required
Fee: $100.00-$100.00
Renewal: biennial
Type: license

All licensed massage therapists must renew their license every two years. Renewal opens 60 days prior to expiration. Licensees must attest to completing required continuing education hours.

Continuing Education Requirement for Massage Therapists

Maryland Board of Massage Therapy Examiners
Required
Renewal: biennial
Type: certificate

Includes 2 hours in ethics, 2 hours in infection control, and 2 hours in Maryland laws and regulations. Must be completed through approved providers. Records must be retained for 4 years.

Building Code Compliance Inspection

Local Department of Permits and Inspections (e.g., Montgomery County)
May Apply
Renewal: one time
Type: permit

Ensures compliance with accessibility (ADA), egress, electrical, and structural codes. Required when opening or renovating. Periodic inspections may occur based on local policy.

County Business License or Tax Registration

Varies by County (e.g., Montgomery County, Prince George’s County)
May Apply
Fee: $50.00-$150.00
Renewal: annual
Type: license

Most counties require all businesses to obtain a local business license or tax certificate. Required even for home-based operations. Must be displayed at place of business.

Home Occupation Zoning Compliance

Local Planning/Zoning Department (e.g., Montgomery County)
May Apply
Fee: $0.00-$100.00
Renewal: one time
Type: permit

Home-based massage businesses must comply with zoning laws limiting client visits, signage, parking, and hours. Requires approval from county planning department.

Step-by-Step Compliance Guide

  1. As a massage therapist in Baltimore, MD, you must comply with federal income tax obligations, which may vary depending on your business structure.
  2. The IRS requires annual filing of federal income tax returns, such as Form 1065 or 1120S, if operating as an LLC or partnership.
  3. You are required to adhere to Americans with Disabilities Act (ADA) Title III Compliance standards, with costs potentially ranging from $1000 to $20000.
  4. The Federal Trade Commission (FTC) enforces advertising and consumer protection rules, and compliance fees vary.
  5. Maintaining accurate record retention for tax and licensing purposes is a one-time requirement from the IRS, with no associated fee.
  6. Ensure compliance with FTC Health Claims Enforcement, specifically regarding any false or misleading health claims made in your advertising.
  7. The IRS also requires filing for Federal Income and Self-Employment Tax Obligations, with fees that can vary significantly.
  8. You must also comply with FTC Truth-in-Advertising and Consumer Protection rules, which have a one-time compliance requirement.

Common Mistakes to Avoid

  • Assuming a single federal license covers all aspects of massage therapy practice is incorrect, as compliance is spread across multiple agencies.
  • Ignoring FTC regulations regarding advertising and consumer protection can lead to significant penalties.
  • Failing to properly file federal income taxes can result in IRS audits and financial repercussions.
  • Neglecting ADA compliance can lead to lawsuits and accessibility issues for clients.
  • Believing that record retention is optional; the IRS requires it for tax and licensing purposes.

Frequently Asked Questions

What is ADA Title III compliance?

ADA Title III requires businesses that are open to the public, like a massage therapy practice, to be accessible to individuals with disabilities. This includes physical accessibility of the space, as well as effective communication and equal access to services.

What does the FTC regulate for massage therapists?

The Federal Trade Commission (FTC) regulates advertising and consumer protection, ensuring that claims made about massage therapy services are truthful and not misleading. This includes health claims and any guarantees made to clients.

How often do I need to file federal income taxes?

If you operate as an LLC or partnership, you generally need to file federal income tax returns annually using forms like 1065 or 1120S. The IRS also requires filing for Federal Income and Self-Employment Tax Obligations.

Are there specific record-keeping requirements?

Yes, the IRS requires you to maintain records related to your business's income, expenses, and tax filings. This is a one-time requirement for Record Retention for Tax and Licensing Purposes, though good practice dictates ongoing record-keeping.

What are the potential costs associated with ADA compliance?

The costs for ADA Title III compliance can vary widely, ranging from $1000 to $20000, depending on the necessary modifications to your facility. This could include things like ramps, accessible restrooms, and appropriate signage.

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