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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD BOM, PT

Active

RICHARD BOM, PT is a Physical Therapy Assistant healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1689789554 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EDEN PRAIRIE, MN

Registration Details

NPI Number
1689789554
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2006 (19.940988850748 yrs)
Last Updated
Jul 8, 2007
License
2704 (MN)

Practice Information

Address
775 PRAIRIE CENTER DR
#250
EDEN PRAIRIE, MN, 553447314
Browse MN providers · Browse ZIP 55344
Phone
9529445314
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EDEN PRAIRIE, MN

Name Credential NPI
MELANIE LEITE-CARROLL PT 1154317915
JILL MELISA SINDA MS PT 1942279062
AMBER RAE WERNER P.T., A.T.C. 1972516227
KIMBERLY ANN BIXEL PT 1447365218
KAREN TORGERSON PT 1821103797
TONI LEE DAUWALTER PT 1487769253
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.