Provider Demographics
NPI:1053102582
Name:SAWATZKE, COLE
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:
Last Name:SAWATZKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-3333
Mailing Address - Country:US
Mailing Address - Phone:605-204-5318
Mailing Address - Fax:605-653-1340
Practice Address - Street 1:2000 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3333
Practice Address - Country:US
Practice Address - Phone:605-204-5318
Practice Address - Fax:605-653-1340
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor