GRAYDON WICKMAN, ATC-L, LMT, CSS
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1043612252
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 514032-4810 (UT) |
Frequently Asked Questions
NPI 1043612252 is the National Provider Identifier for GRAYDON WICKMAN, ATC-L, LMT, CSS, a Specialist/Technologist - Athletic Trainer provider located in West Valley City, UT. This NPI was enumerated on September 18, 2014.
GRAYDON WICKMAN, ATC-L, LMT, CSS practices at 3336 S PIONEER PKWY, SUITE 101, West Valley City, UT 84120.
Quick Facts
- NPI
- 1043612252
- Type
- Individual
- Enumerated
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
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