NPI age
2 years
Enumerated 2023-09-04
● Active
Type 1 · Individual
Matt Wrathall, CM
Wrathall is 1 of 1 clinic/center providers in Rexburg and 1 of 15 in Idaho.
Primary specialty
Clinic/Center
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15 active clinic/center providers in Idaho.
NPI age
2 years
↓ 13 yr below median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Practice location
663 Trejo St
Rexburg, ID 834402579
Mailing address
Po Box 151
Menan, ID 834340151
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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