Individual
NAOMI S CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, LMBT
Contact information
Practice address
4140 FERNCREEK DR, FAYETTEVILLE, NC 28314-2563
(910) 514-6251
Mailing address
318 KIRKWOOD DR, FAYETTEVILLE, NC 28303-4983
(910) 237-9867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001558
NY
2255A2300X
Athletic Trainer
Primary
001558-1
NY
2255A2300X
Athletic Trainer
LAT2982
NC
225700000X
Massage Therapist
Primary
23081
NC
Other
Enumeration date
07/06/2012
Last updated
04/20/2026
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