Search › Idaho › 261QP3300X
Matt Wrathall, CM
NPI 1205612405 · on the registry since 2023 · sole proprietor
Practice
- Address
- 663 Trejo St
Rexburg, ID 83440 - Phone
- (385) 758-4356
Registry record
- Primary taxonomy
- 261QP3300X
261QP3300X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho