NPI 1043612252 GRAYDON WICKMAN ATC-L, LMT, CSS WEST VALLEY CITY UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

NPI Look Up

Graydon Wickman - NPI: 1043612252

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: GRAYDON WICKMAN
NPI Number: 1043612252
Entity Type Code: Individual (1)
Gender: M
Credentials: ATC-L, LMT, CSS
License Number: 514032-4810
Business Practice Address: 3336 S Pioneer Pkwy
Suite 101 West Valley City, UT - 841202000
Business Phone Number: 8019643100
Business Fax Number:
Mailing Address: 3336 S Pioneer Pkwy, Suite 101
WEST VALLEY CITY
State: UT
Postal Code: 841202000
Phone Number: 8019643100
Fax Number:
NPI Enumeration Date: 09/18/2014
NPI Last Update Date: 09/18/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2255A2300X
License Number: 514032-4810
Healthcare Provider Taxonomy:
(Secondary)
Y
State: UT
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Specialist/Technologist
Taxonomy Specialization: Athletic Trainer
Taxonomy 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


NPI Number Lookup by City
(For Example: San Jose)


© Npinolookup.com 2016
Disclaimer