Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard Bom, PT

Individual provider Physical Therapist · NPI 1689789554

Richard Bom, PT is a Physical Therapist in Eden Prairie, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

775 Prairie Center Dr #250
Eden Prairie, MN 55344-7314
Phone: (952) 944-5314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2704 (MN)

Record details

NPI number1689789554
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address19540 Vine Ridge Rd, Excelsior, MN 55331-9118

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