Ashley Lack, MPT
NPI 1245896836 · Physical Therapist · Glen Carbon, IL
Ashley Lack, MPT is a Physical Therapist provider in Glen Carbon, IL (NPI 1245896836).
Provider details
- NPI number
- 1245896836
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- License
- 2009034462 (MO)
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-19
- Last updated
- 2020-06-26
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.