Individual
MRS. LARA NICHOLE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMP
Contact information
Practice address
37 VARDEN DR STE F, AIKEN, SC 29803-5297
(803) 226-3033
Mailing address
37 VARDEN DR STE F, AIKEN, SC 29803-5297
(803) 226-3033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13157
SC
Other
Enumeration date
08/12/2025
Last updated
08/21/2025
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