Provider Demographics
NPI:1528734522
Name:STAIGLE, COLE WESLEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:WESLEY
Last Name:STAIGLE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 NATIONAL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLE FOURCHE
Mailing Address - State:SD
Mailing Address - Zip Code:57717-1800
Mailing Address - Country:US
Mailing Address - Phone:605-723-0185
Mailing Address - Fax:605-723-0186
Practice Address - Street 1:511 NATIONAL ST STE 101
Practice Address - Street 2:
Practice Address - City:BELLE FOURCHE
Practice Address - State:SD
Practice Address - Zip Code:57717-1800
Practice Address - Country:US
Practice Address - Phone:605-723-0185
Practice Address - Fax:605-723-0186
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist