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

Individual provider Physical Therapist · NPI 1811888647

Mackenzie Lake Colleton, DPT is a Physical Therapist in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1901 Libbie Ave
Richmond, VA 23226-1808
Phone: (804) 281-3501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305214334 (VA)

Record details

NPI number1811888647
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address1901 Libbie Ave, Richmond, VA 23226-1808

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