Provider Demographics
NPI:1407645708
Name:VALENTE, KATRINA (ATC, NREMT)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:VALENTE
Suffix:
Gender:F
Credentials:ATC, NREMT
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:
Other - Last Name:ALIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, NREMT
Mailing Address - Street 1:4933 DUNES ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1122
Mailing Address - Country:US
Mailing Address - Phone:636-751-1303
Mailing Address - Fax:
Practice Address - Street 1:31749 LA TIENDA RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4010
Practice Address - Country:US
Practice Address - Phone:818-575-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20000542502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer