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

ASHLEY LACK, MPT

Active

ASHLEY LACK, MPT is a Physical Therapy Assistant healthcare provider located in GLEN CARBON, Illinois. NPI 1245896836 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GLEN CARBON, IL

Registration Details

NPI Number
1245896836
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2019 (7.2185696896144 yrs)
Last Updated
Jun 26, 2020
Licenses
2009034462 (MO)
070.019121 (IL)

Practice Information

Address
20 JUNCTION DR W STE 4
GLEN CARBON, IL, 620343060
Browse IL providers · Browse ZIP 62034
Phone
6182888020
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in GLEN CARBON, IL

Name Credential NPI
MRS. CHRISTIN CHEVONNE RIGONI MPT OCS 1285693689
CHRISTOPHER B PIFER RPT 1407861065
MRS. KELLI D EVANS MSRPT 1265448799
MOIRA M BARONE PT, ATC 1508874892
MRS. DEANNE LOUISE PERRY MSPT 1275634446
KATHRYN A. OLAND DPT 1962537530
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.