Benjamin Robert Holko

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-24825 Issued in AZ

Practice address

14 E la Diosa Dr
Tempe, AZ 85282-2159

Phone

(480) 440-1419

NPI assigned

May 9, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1669118964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E LA DIOSA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822159",
            "telephone_number": "480-440-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E LA DIOSA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822159",
            "telephone_number": "480-440-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLKO",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bhmassage349@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14 E La Diosa Dr",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852822159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jade Shang Tao Holder, MS
• Melinda Holder, OTR/L
• Richard L Holder, R PH
• Holding Hands Medical PLLC
• Luke Naneste Holiday
• Dana Holland
• Lisa Renee Hollar, M.D.
• Doyle D. Holle, O.D.
• John C. Hollebeek, ED.D.
• Heather Holleran, PA-C, MSHS, MPH

• Massage Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.