Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHI JO TRAVAILLE, CRDA
ActiveMRS. KATHI JO TRAVAILLE, CRDA is a Dental Assistant healthcare provider located in MANKATO, Minnesota. NPI 1255456604 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · MANKATO, MN
Registration Details
- NPI Number
- 1255456604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2007 (19.417082380611 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A9553 (MN)
Practice Information
- Address
-
304 BELLE AVEMANKATO, MN, 560015250Browse MN providers · Browse ZIP 56001
- Phone
- 5073448698
- Fax
- 5073448759
- Primary Specialty
-
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.