Madilyn Grace Lack, COTA/L
Madilyn Grace Lack, COTA/L is an Occupational Therapy Assistant in Gatewood, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2026
What do these letters mean?
- COTA/L — Certified Occupational Therapy Assistant, Licensed
- An occupational therapy assistant who is both certified and state licensed.
Practice location Address checks out
11111 State Highway 142WGatewood, MO 63942-7619
Phone: (573) 255-3213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2026029031 (MO) |
|---|
Record details
| NPI number | 1134041148 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTA/L |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2026 |
| Last updated in NPPES | July 29, 2026 |
| Certification date | July 29, 2026 |