Individual
DR. COLEMAN JACE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3314 TEE CT, GILLETTE, WY 82718-7546
(307) 689-5974
Mailing address
PO BOX 1268, GILLETTE, WY 82717-1268
(307) 689-5974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
878
WY
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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