Matt Wrathall, CM

NPI #1205612405 in Rexburg, Idaho

Provider Information

NPI Number
1205612405
Entity Type
Individual
Name
Matt Wrathall, CM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Pain
Credential
CM
Enumeration Date
Sep 4, 2023
Last Updated
Mar 16, 2025

Practice Location

Address
663 TREJO ST
State
Idaho
ZIP Code
83440-2579
Phone
(385) 758-4356

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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