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

Missoula Sports Medicine and Imaging LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1700762200

Missoula Sports Medicine and Imaging LLC is a Sports Medicine (Family Medicine) Physician in Missoula, Montana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1510 S Reserve St
Missoula, MT 59801-4756
Phone: (406) 540-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1700762200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy McCue — Owner/Physician · (406) 540-4117
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address1510 S Reserve St, Missoula, MT 59801-4756

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