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General NPI Number Information
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NPI Number | 1366971368
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Entity Type | Individual
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Provider Name | CALEIGH GOODE MS, LAT, ATC, OT-SC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2860 RONALD REAGAN BLVD STE 240
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City | CUMMING
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State | GA
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Zip | 30041-6289
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Country | US
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Telephone | 404-355-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 1651 N 400 E APT 733
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City | NORTH LOGAN
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State | UT
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Zip | 84341-5666
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT003934
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License Number State | GA
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