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VIO Med Spa Secures Spot Among Top 400 U.S. Franchises

Nashville-based VIO Med Spa has claimed the No. 373 position on the 2026 Franchise Times Top 400 list, marking a milestone for the physician-guided aesthetic chain. The ranking reflects a year of aggressive expansion, during which the company signed 19 new franchise owners to scale its national footprint.

VIO Med Spa Secures Spot Among Top 400 U.S. Franchises

The Franchise Times report, which evaluates systems based on global systemwide sales, highlights the medical and health sector as the fastest-growing industry category. For VIO Med Spa, this recognition arrives alongside significant shifts in its business model. The company recently debuted a next-generation store design that reduces development costs, coupled with the rollout of ClubVIO, a membership program designed to stabilize recurring revenue for operators.

CEO Ryan Rose noted that the brand is prioritizing multi-unit ownership to deepen its presence in both existing and new territories. Recent expansion efforts have secured entries into South Carolina and the New York City market, alongside a continued push in Texas. With a reported average unit volume of $1.3 million across its locations in 2025, the company continues to attract operators from diverse backgrounds, including healthcare and hospitality, as it scales its clinical-protocol model across 20 states.

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