MRS. KATHI JO TRAVAILLE CRDA
NPI 1255456604
Dental Assistant in Mankato, MN

Q: What is Kathi Travaille's NPI number?

The NPI number for Kathi Travaille is 1255456604. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Kathi Travaille's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Kathi Travaille was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 21, 2007

304 BELLE AVE, MANKATO, MN 56001(507) 344-8698(507) 344-8759 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kathi Jo Travaille Crda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHI JO TRAVAILLE CRDA (NPI 1255456604) is an individual dental assistant in Mankato, Minnesota, licensed in Minnesota (A9553) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1255456604

Entity TypeIndividualFemale

Primary Taxonomy126800000X

Provider Legal NameMRS. KATHI JO TRAVAILLECredential: CRDA

Location Address304 BELLE AVEMankato, MN 56001-5250

Mailing Address605 Hillcrest Ave Ste 130Owatonna, MN 55060-3680 · (507) 451-0290 · Fax (507) 451-0291

Phone(507) 344-8698

Fax(507) 344-8759

Sole ProprietorNo

Enumeration DateMarch 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255456604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

License✔ Licensed in MN · A9553

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

304 BELLE AVE, Mankato, MN 56001

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