Individual provider · Type 1 NPI
Mathew Lee Wibel, ABC C.PED
Pedorthist · Little Chute, WI
NPI number
1285105064
Active
Practice location
3 Saint Charles Pl
Little Chute, WI 54140-2256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist | 224L00000X | None listed |
| Pedorthist Primary | 224L00000X | None listed |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
About NPI 1285105064
Mathew Lee Wibel, ABC C.PED's National Provider Identifier is 1285105064, issued on Dec 5, 2018. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Little Chute, WI. The record was last updated on Dec 5, 2018.