Matt Wrathall, CM Valid NPI

Individual provider · Pain Clinic/Center · Rexburg, ID

NPI

1205612405

Type

Individual (Type 1)

Primary specialty

Pain Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QP3300X

Sex

Male

Sole proprietor

Yes

Enumerated

2023-09-04

Last updated

2025-03-16