Individual
ISAAC CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, PA-C
Contact information
Practice address
3001 S CREASY LN STE 100A, LAFAYETTE, IN 47905-5206
(765) 701-7461
Mailing address
3001 S CREASY LN STE 100A, LAFAYETTE, IN 47905-5206
(765) 701-6451
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002983A
IN
363A00000X
Physician Assistant
Primary
10005433A
IN
Other
Enumeration date
06/12/2018
Last updated
08/05/2026
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