Wickman, Graydon

Wickman, Graydon is an individual health care provider with primary practice located at 3336 S Pioneer Pkwy Suite 101, West Valley City UT 84120-2000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wickman, Graydon can be contacted via phone (801) 964-3100.

Contact Information

Primary practice address
3336 S Pioneer Pkwy Suite 101 West Valley City UT 84120-2000
Phone: (801) 964-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 514032-4810 Utah

Profile Details

NPI number 1043612252
LBN Legal business name Wickman, Graydon
Credentials ATC-L, LMT, CSS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers