NPI 1417825480

Coleman Jace Johnson, DC

Practitioner Chiropractor Gillette, WY

Practice location

Address: 3314 Tee CT, Gillette, WY 82718-7546
Phone: (307) 689-5974
Mailing address: PO Box 1268, Gillette, WY 82717-1268

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 878 (WY)

Other Chiropractor providers in Wyoming →

Registry record

NPI: 1417825480
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2025
Record last updated: 29 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.