Search › Illinois › 174400000X
Mark Colston, A.T.C.,
NPI 1265585517 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1501 W Bradley Ave
Peoria, IL 61625 - Phone
- (765) 376-2657
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois