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Contact Information

LUCAS BROHM
431 ADAM SHEPHERD PKWY STE 1
SHEPHERDSVILLE, KY40165-6640
 Phone: 502-921-0272
 Fax: 502-921-0465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Electrophysiology, Clinical

2251E1300X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LUCAS BROHM · (Male)

NPI Number 1114494713
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2018
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • KY License # 007544
  • KY Medicaid 2251000000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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