Provider Demographics
NPI:1386459337
Name:RYAN-CASTRO, MARTHA (IHP)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:RYAN-CASTRO
Suffix:
Gender:
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 S AVENUE B
Mailing Address - Street 2:
Mailing Address - City:SOMERTON
Mailing Address - State:AZ
Mailing Address - Zip Code:85350-8204
Mailing Address - Country:US
Mailing Address - Phone:928-580-1971
Mailing Address - Fax:
Practice Address - Street 1:11593 S FORTUNA RD STE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85367-7807
Practice Address - Country:US
Practice Address - Phone:928-342-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach