Healthcare Provider Details

I. General information

NPI: 1134036536
Provider Name (Legal Business Name): SIGNAL NATURAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST # 7032
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST # 7032
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 507-779-6975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KIANA ROSE RUCH
Title or Position: PHYSICIAN
Credential: NMD
Phone: 507-779-6975