Provider Demographics
NPI:1972306306
Name:FEYNMAN, MAYRAV
Entity type:Individual
Prefix:
First Name:MAYRAV
Middle Name:
Last Name:FEYNMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 CAMBRIDGE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-2655
Mailing Address - Country:US
Mailing Address - Phone:617-505-7212
Mailing Address - Fax:
Practice Address - Street 1:79 TRAPELO RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4448
Practice Address - Country:US
Practice Address - Phone:161-745-3847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist