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Massage Therapy Clinic Space in Ontario: Zoning Definitions, Change of Use and Lease Terms

Published 29 September 2026 · By Jatin Dua, Broker of Record, RE/MAX Quantum Realty

Second-floor professional units above shops on a Toronto main street, a common location for massage therapy clinics (illustrative)

By Jatin Dua · Broker of Record, RE/MAX Quantum Realty · Updated 29 September 2026 · 10 min read — the zoning definitions, permits, health rules and lease wording that decide whether a unit works for a registered massage therapy clinic.

Short answer

In Toronto, Zoning By-law 569-2013 defines massage therapy as premises where massage therapy is provided by health professionals licensed or registered under Ontario law, and says a body rub service or wellness centre is not massage therapy. Those are separate uses with separate permissions, so confirm that massage therapy is permitted in the zone before you sign. A change of use needs a building permit even with no construction. RMTs are regulated health professionals, so O. Reg. 136/18’s personal service setting rules do not apply where services are primarily theirs; add waxing or facials by estheticians and Toronto’s personal services licence and public health rules can apply. The lease use clause should name registered massage therapy precisely.

Three zoning definitions that decide the unit

Toronto’s Zoning By-law 569-2013, Chapter 800, draws sharp lines:

  • Massage Therapy means “premises providing massage therapy by persons who are medical or health professionals licensed or registered under Province of Ontario legislation. A body rub service or wellness centre is not a massage therapy.”
  • Wellness Centre means “premises providing services for therapeutic and wellness purposes. A massage therapy, medical office or body rub service is not a wellness centre.”
  • Body Rub Service covers services for erotic or sexual purposes; massage therapy is not a body rub service.

Each is its own use, and zones permit them differently. A unit that allows a wellness centre does not automatically allow massage therapy, and the reverse. Ask the City’s zoning examiner, or have your planner confirm, that massage therapy is permitted in the property’s zone before you commit.

Permits and the Building Code

The City of Toronto says that “if a change of use is proposed a building permit is required” even with no construction, and that zoning compliance is required even where no permit is needed. Other GTA municipalities have their own versions of the same rule.

Under the Ontario Building Code, medical offices, offices and beauty parlours all sit in the business and personal services group, according to the Ontario Association of Architects’ occupancy guide, while shops are mercantile. Converting a store into treatment rooms is likely a change of occupancy, with drawings and a permit. The current Code is the 2024 edition, in force since 1 January 2025.

When public health rules apply

Ontario’s personal service settings regulation, O. Reg. 136/18, does not apply to a setting where services are primarily provided by a member of a health profession listed in Schedule 1 of the Regulated Health Professions Act who is practising that profession. Massage therapy is on that list. The Ministry’s 2019 guideline adds that a setting that would otherwise be a personal service setting is exempt when regulated professionals primarily provide services within their scope.

That changes if you add esthetics. Toronto’s licensing code defines personal services to include aesthetics, and requires every owner or operator of a personal services setting to be licensed, with an endorsement for each class of service. A “personal services worker” excludes members of Schedule 1 professions, so it is the esthetician’s work, not the RMT’s, that brings the licence and inspection. If you plan waxing or facials, read day spa premises in Ontario for the setting requirements.

What the space needs for an RMT clinic

No Ontario regulation I found sets room sizes for massage therapy. What the rules do require is privacy and records security. CMTO’s record-keeping standard requires records to be kept 10 years after the last visit, and requires a written agreement between the RMT and the employer or facility operator on how records are handled. So plan for:

  • treatment rooms with solid walls and doors, not curtains;
  • a hand-washing sink convenient to the rooms;
  • laundry handling for linens, on site or by service;
  • secure storage for paper records or a clinic system with controlled access;
  • a reception area where screens and conversations are not overheard.

Lease terms for a massage clinic

  • Use clause. Say “registered massage therapy” and name any other services you plan, such as chiropractic, physiotherapy or esthetics. Vague wording such as “wellness” can point to a different zoning use.
  • Landlord comfort. Some landlords worry about body-rub uses. A precise use clause and a covenant to use registered professionals only can settle that.
  • Alterations. Consent for partitions, sinks and laundry hook-ups, and what must be removed at the end.
  • Assignment. Conditions for assigning the lease if you sell, and whether a share sale counts.
  • Hours. Evening and weekend access, and after-hours heating and cooling costs.
  • Noise. A quiet clinic above a gym or restaurant is a real problem; ask who the neighbours are.

Accessibility

Under the AODA, businesses with fewer than 20 employees need accessibility policies and staff training. At 20 or more employees an accessibility compliance report is due by 31 December 2026, and at 50 or more a multi-year plan must be posted online. The Design of Public Spaces standard applies to new construction and renovated public spaces, so a fit-out brings it in. Second-floor units without an elevator are common for massage clinics; they are cheaper, but they shut out some clients.

Buying the unit, or buying the clinic

If you are buying an existing clinic, the records and HST points in buying a massage therapy clinic in Ontario come first. If you are buying a commercial unit to own, check zoning for massage therapy specifically, parking, building condition and, in a commercial condominium, the declaration’s use restrictions. For comparisons, see chiropractic clinic space and physiotherapy clinic space in Ontario.

Where I fit

I find and negotiate clinic space across Toronto and the GTA, and I check the zoning definition before anyone signs. The office space value estimator below gives a quick range for office and clinic space. When you have a unit in view, book a call or phone 833-330-1925.

Free tool — AI office space value estimator

Frequently asked questions

Is massage therapy allowed in a wellness centre zone in Toronto?

Not automatically. Toronto’s Zoning By-law 569-2013 defines massage therapy and wellness centre as separate uses, and says a massage therapy is not a wellness centre. Check that massage therapy itself is permitted in the property’s zone. A body rub service is a third, separate use.

Do I need a building permit to open a massage clinic?

In Toronto a change of use needs a building permit even if no construction is proposed. Converting a store to treatment rooms usually changes the use, so check with the City before signing a lease. Other GTA municipalities have their own versions of the rule.

Does a massage therapy clinic need a personal services setting licence in Toronto?

Not for massage by registered massage therapists, who are members of a regulated health profession. If the clinic also offers esthetics such as waxing or facials by non-regulated staff, Toronto’s personal services setting licence and public health inspections can apply to that part.

What should the use clause say in a massage clinic lease?

Name registered massage therapy specifically and list any other services you plan. Loose wording like “wellness” can point to a different zoning use and make landlords nervous about body-rub uses. A covenant to use registered professionals only can also reassure the landlord.

Can a massage therapy clinic also offer waxing and facials?

Yes, but that part of the business brings personal service setting rules. In Toronto, the owner or operator needs a personal services setting licence endorsed for aesthetics, Toronto Public Health must be notified at least 14 days before opening, and the space must meet O. Reg. 136/18 requirements such as a dedicated hand-washing sink and easily cleanable surfaces.

Are there room size rules for massage therapy clinics in Ontario?

I have not found an Ontario regulation that sets room sizes for massage therapy. The Building Code sets general rules for exits and washrooms, and CMTO’s standards drive privacy and records security. Solid-walled rooms and secure records storage are the practical minimum.

Sources

Related reading

About the author — Jatin Dua, Toronto and GTA real estate broker

I am Jatin Dua, Broker of Record and co-founder of RE/MAX Quantum Realty Inc., Brokerage, Unit 101, 799 The Queensway, Toronto. I work with buyers and sellers across Toronto and the GTA and have helped more than 100 families sell. Four-plus years of active GTA transactions and over $100 million in sales volume. Every figure here comes from a published table, regulator or statute linked in the sources, so you can check all of it without asking me.

Reach me at connect@jatindua.com or 833-330-1925, or book a call.

Please read this. General information current as at 29 September 2026. It is not legal, tax, accounting or financial advice. I am a registered real estate broker, not a lawyer or accountant. Nothing here values any specific business or property. Licensing and regulatory rules come from the regulators and legislation linked above and can change; confirm them with the regulator, your lawyer and your accountant before you sign anything. Worked examples use round illustrative numbers and are labelled as such; commission is negotiable and no rate here is a quote. Not intended to solicit clients currently under contract with another brokerage. Images are illustrative. E. & O.E.

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