Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ian Robert McIntire, MSPO, CPO

Individual provider Prosthetist · NPI 1306694005

Mr. Ian Robert McIntire, MSPO, CPO is a Prosthetist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Phone: (314) 652-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence CPO04181 (MO)
Prosthetist Taxonomy 224P00000X · Licence CPO04181 (MO)

Record details

NPI number1306694005
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPO , CPO
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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