Individual provider · Type 1 NPI

Shane Ravenelle, PT, DPT

Physical Therapist · Lake Forest, CA

NPI number 1780229898 Active

Practice location

24301 Muirlands Blvd Ste T
Lake Forest, CA 92630-3627

Call (949) 271-0012 Map

Fax (949) 271-0013

Mailing address

3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X297650 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1780229898

Shane Ravenelle, PT, DPT's National Provider Identifier is 1780229898, issued on Nov 12, 2019. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Lake Forest, CA. The record was last updated on Nov 12, 2019.