Graydon Wickman, ATC-L, LMT, CSS
NPI #1043612252 in West Valley City, Utah
Provider Information
- NPI Number
- 1043612252
- Entity Type
- Individual
- Name
- Graydon Wickman, ATC-L, LMT, CSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC-L, LMT, CSS
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 3336 S PIONEER PKWY
- Address 2
- SUITE 101
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2000
- Phone
- (801) 964-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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