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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 878 (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.