MR. MARK JOSEPH COLSTON A.T.C. NPI 1265585517

NPI Information

MR. Mark Joseph Colston, A.T.C., is a specialist in Peoria, IL. The provider is 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. MR. Mark Joseph Colston, A.T.C., NPI is 1265585517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 W BRADLEY AVE
PEORIA, IL
ZIP 61625-417
Phone: (765) 376-2657

The enumeration date for this NPI number is 1/19/2007 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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