Healthcare Provider Details

I. General information

NPI: 1407769128
Provider Name (Legal Business Name): ALINA ELIZABETH UTECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 E ROCK RD
FARWELL MI
48622-9433
US

IV. Provider business mailing address

776 MAJESTIC
ROCHESTER HILLS MI
48306-3572
US

V. Phone/Fax

Practice location:
  • Phone: 989-429-8138
  • Fax:
Mailing address:
  • Phone: 248-568-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001566
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: