Individual provider · Type 1 NPI

Coleman Jace Johnson, DC

Chiropractor · Gillette, WY

NPI number 1417825480 Active

Practice location

3314 Tee Ct
Gillette, WY 82718-7546

Mailing address

PO Box 1268
Gillette, WY 82717-1268

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X878 (WY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1417825480

Coleman Jace Johnson, DC's National Provider Identifier is 1417825480, issued on Oct 29, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gillette, WY. The record was last updated on Oct 29, 2025.