# PERFORMANCE INJURY CARE & SPORTS MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619166972
- **Authorized official:** MS. JAMIE BRAGG (PRACTICE MANAGER)
- **Authorized official phone:** (406) 422-5817

## Contact information

- **Practice address:** 3150 N MONTANA AVE, SUITE A, HELENA, MT 59602-7804
- **Practice address phone:** (406) 422-5817
- **Practice address fax:** (406) 422-5928
- **Mailing address:** 3150 N MONTANA AVE, SUITE A, HELENA, MT 59602-7804
- **Mailing address phone:** (406) 422-5817
- **Mailing address fax:** (406) 422-5928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 03/15/2022