IndividualActive
Destry Wolbert
NPI 1508729872 · Case Manager/Care Coordinator · Pocatello, ID
Provider details
- NPI number
- 1508729872
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
Practice location
707 N 7th Ave Ste D
Pocatello, ID 83201-5796
Phone: (208) 242-3044
Fax: (208) 904-0494
Approximate (ZIP-level) locationGet directions
Mailing address
707 N 7th Ave Ste D
Pocatello, ID 83201-5796
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.