MEDICARE: MICHAEL UTECH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	M.2500408	OH

General Provider Information

NPI Number	:	1649137597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL UTECH

Provider Business Mailing Address
First Line	:	8859 CINCINNATI DAYTON RD STE 203
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3193
Country	:	US
Telephone Number	:	513-214-1432
Fax Number	:

Provider Business Practice Location Address
First Line	:	8859 CINCINNATI DAYTON RD STE 203
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3193
Country	:	US
Telephone Number	:	513-214-1432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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