Healthcare Provider Details

I. General information

NPI: 1144135534
Provider Name (Legal Business Name): ALEXIS KATHERINE ORELLANA CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E OLIVE AVE STE 107
BURBANK CA
91502-1849
US

IV. Provider business mailing address

20000 PLUM CANYON RD UNIT 1126
SANTA CLARITA CA
91350-2422
US

V. Phone/Fax

Practice location:
  • Phone: 408-921-5179
  • Fax:
Mailing address:
  • Phone: 818-736-1207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number179079
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number179079
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: