Healthcare Provider Details

I. General information

NPI: 1235045444
Provider Name (Legal Business Name): EMILY KAYE BOES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W MONROE ST
MEXICO MO
65265-1201
US

IV. Provider business mailing address

12696 AUDRAIN ROAD 649
WELLSVILLE MO
63384-3018
US

V. Phone/Fax

Practice location:
  • Phone: 573-581-7261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number2019022265
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: