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GRANT MICHAEL VICKERMAN
NPI 1457821795
Specialist/Technologist - Athletic Trainer in Big Lake, MN

Active since November 29, 2018
22037 181ST ST NW, BIG LAKE, MN 55309(763) 567-0415 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Grant Michael Vickerman NPPES

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

GRANT MICHAEL VICKERMAN (NPI 1457821795) is an individual athletic trainer provider in Big Lake, Minnesota and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1457821795
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameGRANT MICHAEL VICKERMAN
Location Address22037 181ST ST NWBig Lake, MN 55309-8243
Mailing Address22037 181st St NwBig Lake, MN 55309-8243 · (763) 567-0415
Phone(763) 567-0415
Sole ProprietorNo
Enumeration DateNovember 29, 2018
✔ NPI 1457821795 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
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.
22037 181ST ST NW, Big Lake, MN 55309
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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 Grant Vickerman's NPI number?

The NPI number for Grant Vickerman is 1457821795. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Grant Vickerman located?

Grant Vickerman practices at 22037 181st St NW, Big Lake, MN 55309. The listed phone number is (763) 567-0415.

What is Grant Vickerman'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 Grant Vickerman was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.