Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Joseph Colston, ATC

Individual provider Specialist · NPI 1265585517

Mr. Mark Joseph Colston, ATC is a Specialist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1501 W Bradley Ave
Peoria, IL 61625-2417
Phone: (765) 376-2657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36000941A (IN)

Record details

NPI number1265585517
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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