Individual provider · Type 1 NPI

Mark Joseph Colston, A.T.C.

Specialist · Peoria, IL

NPI number 1265585517 Active

Practice location

1501 W Bradley Ave
Peoria, IL 61625-2417

Call (765) 376-2657 Map

Mailing address

586 Heritage Dr
Mackinaw, IL 61755-8991

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36000941A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1265585517

Mark Joseph Colston, A.T.C.'s National Provider Identifier is 1265585517, issued on Jan 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, IL. The record was last updated on Feb 21, 2024.