Provider Demographics
NPI:1619260676
Name:BOES, JUEL MARIE (PT)
Entity Type:Individual
Prefix:
First Name:JUEL
Middle Name:MARIE
Last Name:BOES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JUEL
Other - Middle Name:MARIE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2325 FOXMOOR RD
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7151
Mailing Address - Country:US
Mailing Address - Phone:419-889-4143
Mailing Address - Fax:
Practice Address - Street 1:8580 TOWNSHIP ROAD 237
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8507
Practice Address - Country:US
Practice Address - Phone:419-422-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT011116225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist