MEDICARE: DR. GEORGIA GERMAIN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		ID

General Provider Information

NPI Number	:	1871421214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGIA GERMAIN DPT

Provider Business Mailing Address
First Line	:	130 S MIDLAND BLVD
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S MIDLAND BLVD
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2601
Country	:	US
Telephone Number	:	208-461-5057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “ DR. GEORGIA GERMAIN DPT” Practice Location

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