Healthcare Provider Details

I. General information

NPI: 1326769217
Provider Name (Legal Business Name): IAN HOWES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 MERRITT CAPITAL DR STE 105
WAKE FOREST NC
27587-3740
US

IV. Provider business mailing address

8470 FALLS OF NEUSE RD STE 100
RALEIGH NC
27615-3550
US

V. Phone/Fax

Practice location:
  • Phone: 919-803-0738
  • Fax: 919-882-1727
Mailing address:
  • Phone: 919-803-0738
  • Fax: 919-882-1727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP21689
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: