Provider Demographics
NPI:1871615286
Name:WILKINSON, STEVEN GRAHAM (PT, PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GRAHAM
Last Name:WILKINSON
Suffix:
Gender:M
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 S MARIE CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-2471
Mailing Address - Country:US
Mailing Address - Phone:385-204-8182
Mailing Address - Fax:
Practice Address - Street 1:1265 E FORT UNION BLVD STE 110
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84047-1807
Practice Address - Country:US
Practice Address - Phone:801-849-0198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006011489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist