Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT WRATHALL, CM
Active Sole ProprietorMATT WRATHALL, CM is a Pain Clinic healthcare provider located in REXBURG, Idaho. NPI 1205612405 is currently active in the NPPES registry. Verify at CMS.
Pain Clinic · REXBURG, ID
Registration Details
- NPI Number
- 1205612405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2023 (2.9662348220173 yrs)
- Last Updated
- Mar 16, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
663 TREJO STREXBURG, ID, 834402579Browse ID providers · Browse ZIP 83440
- Phone
- 3857584356
- Primary Specialty
-
Pain Clinic
261QP3300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.