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

Ashley Lack, MPT

Individual provider Physical Therapist · NPI 1245896836

Ashley Lack, MPT is a Physical Therapist in Glen Carbon, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2019.

Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

20 Junction Dr W Ste 4
Glen Carbon, IL 62034-3060
Phone: (618) 288-8020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.019121 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2009034462 (MO)

Record details

NPI number1245896836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 19, 2019
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020
Mailing address1703 State St, Alton, IL 62002-3461

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