Individual
ASHTIN LEA GRAVLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2861 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2350
(816) 525-2840
(816) 525-2841
Mailing address
10504 NW 85TH ST, KANSAS CITY, MO 64153-3697
(816) 547-4026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2023
Last updated
03/03/2026
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