Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Graydon Wickman, ATC-L, LMT, CSS

Individual provider Athletic Trainer · NPI 1043612252

Graydon Wickman, ATC-L, LMT, CSS is an Athletic Trainer in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

3336 S Pioneer Pkwy Ste 101
West Valley City, UT 84120-2000
Phone: (801) 964-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 514032-4810 (UT)

Record details

NPI number1043612252
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC-L , LMT , CSS
Sole proprietorNo
NPI enumeratedSeptember 18, 2014
Last updated in NPPESSeptember 18, 2014
Mailing address3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2000

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