Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micheal Soderborg

Individual provider Physical Therapist · NPI 1164354122

Micheal Soderborg is a Physical Therapist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

527 Memorial Dr
Pocatello, ID 83201-4063
Phone: (120) 847-8333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4481315 (ID)

Record details

NPI number1164354122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address4522 Sarah Loop, Chubbuck, ID 83202-5071

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