MR. MICHAEL GOEDECKE MS ATC LAT
NPI 1962818914
Specialist/Technologist - Athletic Trainer in Tahlequah, OK

Q: What is Michael Goedecke's NPI number?

The NPI number for Michael Goedecke is 1962818914. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Michael Goedecke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Michael Goedecke was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 09, 2014

603 N GRAND AVE, TAHLEQUAH, OK 74464(918) 444-3921(918) 444-3954 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Michael Goedecke Ms Atc Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL GOEDECKE MS ATC LAT (NPI 1962818914) is an individual athletic trainer provider in Tahlequah, Oklahoma, licensed in Oklahoma (957) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1962818914

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. MICHAEL GOEDECKECredential: MS ATC LAT

Location Address603 N GRAND AVETahlequah, OK 74464-2302

Mailing Address603 N Grand AveTahlequah, OK 74464-2302 · (918) 444-3921 · Fax (918) 444-3954

Phone(918) 444-3921

Fax(918) 444-3954

Sole ProprietorYes

Enumeration DateJuly 9, 2014

Last NPPES UpdateApril 11, 2017

✔ NPI 1962818914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in OK · 957

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

603 N GRAND AVE, Tahlequah, OK 74464

Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN GONZALES ATC, LAT

Specialist/Technologist (Athletic Trainer)