SearchVirginia225100000X

Mackenzie Colleton, DPT

NPI 1811888647 · on the registry since 2025 · sole proprietor

Practice

Address
1901 Libbie Ave
Richmond, VA 23226
Phone
(804) 281-3501
Organisation at this address
Lifesource Prime Inc
Glenburnie Operator Llc
West End Operations, Llc
Lifesource Of North Carolina
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-10

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 Virginia