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GRAYDON WICKMAN ATC-L, LMT, CSS
NPI 1043612252
Specialist/Technologist - Athletic Trainer in West Valley City, UT

Active since September 18, 2014
3336 S PIONEER PKWY, SUITE 101, WEST VALLEY CITY, UT 84120(801) 964-3100 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Graydon Wickman Atc-l, Lmt, Css NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYDON WICKMAN ATC-L, LMT, CSS (NPI 1043612252) is an individual athletic trainer provider in West Valley City, Utah, licensed in Utah (514032-4810) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1043612252
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameGRAYDON WICKMANCredential: ATC-L, LMT, CSS
Location Address3336 S PIONEER PKWY, SUITE 101West Valley City, UT 84120-2000
Mailing Address3336 S Pioneer Pkwy, Suite 101West Valley City, UT 84120-2000 · (801) 964-3100
Phone(801) 964-3100
Sole ProprietorNo
Enumeration DateSeptember 18, 2014
✔ NPI 1043612252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in UT · 514032-4810
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
3336 S PIONEER PKWY, West Valley City, UT 84120
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESTEN BEATTY DNP
Nurse Practitioner (Family)
3336 S PIONEER PKWY
SALT LAKE CITY, UT 84120
Salt Lake County (801) 250-9638
PAULA S WOLF FNP-C
Nurse Practitioner (Family)
3336 S PIONEER PKWY
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-8726
HEATHER A SEARLE-CUMMINGS RN
Nurse Practitioner (Women's Health)
3336 S PIONEER PKWY
WEST VALLEY, UT 84120
Salt Lake County (801) 964-3865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graydon Wickman's NPI number?

The NPI number for Graydon Wickman is 1043612252. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Graydon Wickman located?

Graydon Wickman practices at 3336 S Pioneer Pkwy Suite 101, West Valley City, UT 84120. The listed phone number is (801) 964-3100.

What is Graydon Wickman's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Graydon Wickman was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.