Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAYDON WICKMAN, ATC-L, LMT, CSS
ActiveGRAYDON WICKMAN, ATC-L, LMT, CSS is a Athletic Trainer healthcare provider located in WEST VALLEY CITY, Utah. NPI 1043612252 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEST VALLEY CITY, UT
Registration Details
- NPI Number
- 1043612252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2014 (11.871507001438 yrs)
- Last Updated
- Sep 18, 2014
- License
-
514032-4810 (UT)
Practice Information
- Address
-
3336 S PIONEER PKWYSUITE 101WEST VALLEY CITY, UT, 841202000Browse UT providers · Browse ZIP 84120
- Phone
- 8019643100
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WEST VALLEY CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MR. RICK HACKFORD | ATC | 1245290691 |
| SHELLY HEAD | ATC | 1154797330 |
| DALLIN LUND | ATC, EMT | 1659740207 |
| DANIEL PAUL CARPENTER | ATC | 1568937381 |
| JESSICA MANSELL | — | 1518509223 |
| JUSTIN VALDEZ | ATC, CSCS | 1265129076 |
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.