# LEAH GOEDECKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457974073
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | DO3713 | NV | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | OS23159 | FL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO3713 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | DO3713 | NV | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | DO3713 | NV | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | DO3713 | NV | — |
| 2255A2300X | Athletic Trainer | — | NV | — |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 04/07/2026