MEDICARE: ELIZABETH UTECHT

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1710826011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH UTECHT

Provider Business Mailing Address
First Line	:	930 EXECUTIVE WAY
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-0632
Country	:	US
Telephone Number	:	530-722-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 950
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-0950
Country	:	US
Telephone Number	:	530-722-1022
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ ELIZABETH UTECHT ” Practice Location

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