IndividualActive
Kathi Travaille, CRDA
NPI 1255456604 · Dental Assistant · Mankato, MN
Provider details
- NPI number
- 1255456604
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CRDA
- Sex
- Female
- Sole proprietor
- No
- License
- A9553 (MN)
Specialties & taxonomies
Dental Providers
Practice location
304 Belle Ave
Mankato, MN 56001-5250
Phone: (507) 344-8698
Fax: (507) 344-8759
Approximate (ZIP-level) locationGet directions
Mailing address
605 Hillcrest Ave Ste 130
Owatonna, MN 55060-3680
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.