GRAYDON WICKMAN (ATC-L, LMT, CSS) – Athletic Trainer, NPI 1043612252

Athletic Trainer

GRAYDON WICKMAN (ATC-L, LMT, CSS) is a healthcare provider. based in West valley city, Utah. specializing in Athletic Trainer. They hold the professional credentials ATC-L, LMT, CSS. They hold a License No. 514032-4810 (UT). The NPI Number for GRAYDON WICKMAN (ATC-L, LMT, CSS) is 1043612252

Main info

Male

Name

GRAYDON WICKMAN (ATC-L, LMT, CSS)

NPI

1043612252

Phone

(801) 964-3100

Address

3336 S PIONEER PKWY

Enumeration Date

18 September 2014

Last Update Date

18 September 2014

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for GRAYDON WICKMAN (ATC-L, LMT, CSS)

3336 S PIONEER PKWY
SUITE 101
WEST VALLEY CITY, UT 841202000
Phone: (801) 964-3100
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84120)

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Reviews

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Frequently asked questions

What unique ID ties claims to GRAYDON WICKMAN (ATC-L, LMT, CSS)?

NPI 1043612252 is assigned to GRAYDON WICKMAN (ATC-L, LMT, CSS) under the national enumeration system.

Does this profile mean GRAYDON WICKMAN (ATC-L, LMT, CSS) is currently active?

Yes — GRAYDON WICKMAN (ATC-L, LMT, CSS) appears active in the national provider directory.

Does GRAYDON WICKMAN (ATC-L, LMT, CSS) list a primary specialty?

If you are matching referrals, note Athletic Trainer for GRAYDON WICKMAN (ATC-L, LMT, CSS). Clinical services aligned with this taxonomy classification.

Does GRAYDON WICKMAN (ATC-L, LMT, CSS) practice in Utah?

You will see West Valley City, Utah on file for GRAYDON WICKMAN (ATC-L, LMT, CSS) alongside any extra practice locations.

How can I contact GRAYDON WICKMAN (ATC-L, LMT, CSS)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.