LEAH GOEDECKE DO NPI 1457974073

NPI Information

  • NPI: 1457974073
  • Provider Name: LEAH GOEDECKE, DO
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6765 W CHARLESTON BLVD STE 150
    LAS VEGAS, NV
    ZIP 89146
  • Phone: (702) 518-5774

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NPI Details

Leah Goedecke, DO is a neuromusculoskeletal medicine omm in Las Vegas, NV with 6 years of experience. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. Leah Goedecke, DO NPI is 1457974073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6765 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
ZIP 89146-001
Phone: (702) 518-5774

The NPI 1457974073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineDO3713NEVADANo
2208100000XPhysical Medicine & RehabilitationDO3713NEVADANo
32081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineDO3713NEVADANo
42081S0010XPhysical Medicine & RehabilitationSports MedicineDO3713NEVADANo
52255A2300XSpecialist/TechnologistAthletic TrainerNEVADANo
6204D00000XNeuromusculoskeletal Medicine & OMMDO3713MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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