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MR. MARK JOSEPH COLSTON A.T.C.,
NPI 1265585517
Specialist in Peoria, IL

Active since January 19, 2007
1501 W BRADLEY AVE, PEORIA, IL 61625(765) 376-2657 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Joseph Colston A.t.c., NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK JOSEPH COLSTON A.T.C., (NPI 1265585517) is an individual specialist in Peoria, Illinois, licensed in Indiana (36000941A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1265585517
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. MARK JOSEPH COLSTONCredential: A.T.C.,
Location Address1501 W BRADLEY AVEPeoria, IL 61625-2417
Mailing Address586 Heritage DrMackinaw, IL 61755-8991 · (765) 376-2657
Phone(765) 376-2657
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1265585517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 36000941A
Definition
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.
1501 W BRADLEY AVE, Peoria, IL 61625
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC T REDMAN ATC
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-2686
MEGAN NIXON
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-2983
DELANEY BAY TAYLOR
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 676-7611
MARCUS OHNEMUS A.T.C.
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-3072
CHEE VANG
Student in an Organized Health Care Education/Training Program
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 676-7611
ERIC POLOMIS
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (920) 655-2318
MICKY MILLER
Nurse Practitioner (Family)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 676-7611
DUSTIN HOLLEY MS, ATC
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-3072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Colston's NPI number?

The NPI number for Mark Colston is 1265585517. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Mark Colston located?

Mark Colston practices at 1501 W Bradley Ave, Peoria, IL 61625. The listed phone number is (765) 376-2657.

What is Mark Colston's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Colston was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.